Beneheart R12 Operator's Manual V2.0 en

BeneHeart R12/BeneHeart R12A
Electrocardiograph
Operators Manual
Copyright 2013 Shenzhen Mindray Bio-Medical Electronics Co., Ltd. All rights reserved.
For this Operators Manual, the issue date is December 2013.
BeneHeart R12/BeneHeart R12A I

Intellectual Property Statement
SHENZHEN MINDRAY BIO-MEDICAL ELECTRONICS CO., LTD. (hereinafter called Mindray) owns the intellectual property
rights to this Mindray product and this manual. This manual may refer to information protected by copyrights or
patents and does not convey any license under the patent rights of Mindray, nor the rights of others.
Mindray intends to maintain the contents of this manual as confidential information. Disclosure of the information in
this manual in any manner whatsoever without the written permission of Mindray is strictly forbidden.
Release, amendment, reproduction, distribution, rental, adaption and translation of this manual in any manner
whatsoever without the written permission of Mindray is strictly forbidden.
, , and are the registered trademarks or trademarks owned
by Mindray in China and other countries. All other trademarks that appear in this manual are used only for editorial
purposes without the intention of improperly using them. They are the property of their respective owners.
Responsibility on the Manufacturer Party

Contents of this manual are subject to changes without prior notice.
All information contained in this manual is believed to be correct. Mindray shall not be liable for errors contained
herein nor for incidental or consequential damages in connection with the furnishing, performance, or use of this
manual.
Mindray is responsible for the effects on safety, reliability and performance of this product, only if:
All installation operations, expansions, changes, modifications and repairs of this product are conducted by
Mindray authorized personnel;
The electrical installation of the relevant room complies with the applicable national and local requirements;
The product is used in accordance with the instructions for use.
WARNING
This equipment must be operated by skilled/trained clinical professionals.
It is important for the hospital or organization that employs this equipment to carry out a reasonable
service/maintenance plan. Neglect of this may result in machine breakdown or personal injury.
II BeneHeart R12/BeneHeart R12A

Warranty
THIS WARRANTY IS EXCLUSIVE AND IS IN LIEU OF ALL OTHER WARRANTIES, EXPRESSED OR IMPLIED, INCLUDING
WARRANTIES OF MERCHANTABILITY OR FITNESS FOR ANY PARTICULAR PURPOSE.
Exemptions
Mindray's obligation or liability under this warranty does not include any transportation or other charges or liability
for direct, indirect or consequential damages or delay resulting from the improper use or application of the product or
the use of parts or accessories not approved by Mindray or repairs by people other than Mindray authorized
personnel.
This warranty shall not extend to
Malfunction or damage caused by improper use or man-made failure.
Malfunction or damage caused by unstable or out-of-range power input.
Malfunction or damage caused by force majeure such as fire and earthquake.
Malfunction or damage caused by improper operation or repair by unqualified or unauthorized service people.
Malfunction of the instrument or part whose serial number is not legible enough.
Others not caused by instrument or part itself.
Company Contact
Manufacturer: Shenzhen Mindray Bio-Medical Electronics Co., Ltd.
Address Mindray Building, Keji 12th Road South, Hi-tech industrial park,
Nanshan, Shenzhen 518057,P.R.China
Website www.mindray.com
E-mail Address: service@mindray.com.cn
Tel: +86 755 81888998

Fax: +86 755 26582680
EC-Representative: Shanghai International Holding Corp. GmbH (Europe)
Address: Eiffestrae 80, 20537 Hamburg, Germany

Tel: 0049-40-2513175
Fax: 0049-40-255726
BeneHeart R12/BeneHeart R12A III

Preface
Manual Purpose
This manual contains the instructions necessary to operate the product safely and in accordance with its function and
intended use. Observance of this manual is a prerequisite for proper product performance and correct operation and
ensures patient and operator safety.
This manual is based on the maximum configuration and therefore some contents may not apply to your product. If
you have any question, please contact us.
This manual is an integral part of the product. It should always be kept close to the equipment so that it can be
conveniently referenced when needed.
Intended Audience
This manual is geared for clinical professionals who are expected to have corresponding working knowledge of
medical procedures, practices and terminology as required for the treatment of patients.
Illustrations
All illustrations in this manual serve as examples only. They may not necessarily reflect the setup or data displayed on
your equipment.
Conventions
Italic text is used to quote the referenced chapters or sections.
[ ] is used to enclose screen texts.
is used to indicate operational procedures.
IV BeneHeart R12/BeneHeart R12A

Contents
1 Safety ................................................................................................................................................................................. 1-1
1.1 Safety Information .......................................................................................................................................................................................... 1-1
1.1.1 Warnings .............................................................................................................................................................................................. 1-2
1.1.2 Cautions ............................................................................................................................................................................................... 1-3
1.1.3 Notes ..................................................................................................................................................................................................... 1-3
1.2 Equipment Symbols....................................................................................................................................................................................... 1-4
2 Equipment Overview ........................................................................................................................................................ 2-1

2.1 Intended Use .................................................................................................................................................................................................... 2-1
2.2 Major Functions............................................................................................................................................................................................... 2-1
2.3 Main Unit ........................................................................................................................................................................................................... 2-2
2.3.1 Front and Side View ......................................................................................................................................................................... 2-2
2.3.2 Back View ............................................................................................................................................................................................. 2-6
2.4 Screen Layout ................................................................................................................................................................................................... 2-7
2.5 Operating Mode .............................................................................................................................................................................................. 2-8
2.5.1 Normal Mode ..................................................................................................................................................................................... 2-8
2.5.2 Standby Mode.................................................................................................................................................................................... 2-8
2.5.3 Demo Mode ........................................................................................................................................................................................ 2-9
2.5.4 Maintenance Mode .......................................................................................................................................................................... 2-9
3 Setting up the Equipment ................................................................................................................................................ 3-1

3.1 Installation ......................................................................................................................................................................................................... 3-1
3.1.1 Unpacking and Checking .............................................................................................................................................................. 3-1
3.1.2 Environmental Requirements ...................................................................................................................................................... 3-2
3.2 Setting up the Equipment ........................................................................................................................................................................... 3-3
3.2.1 Connecting the AC Mains .............................................................................................................................................................. 3-3
3.2.2 Using the Battery .............................................................................................................................................................................. 3-3
3.2.3 Loading the Paper ............................................................................................................................................................................ 3-4
3.2.4 Connecting the Patient Cable ...................................................................................................................................................... 3-5
3.2.5 Connecting the Barcode Reader ................................................................................................................................................. 3-5
3.2.6 Checking the Equipment before Power On ............................................................................................................................ 3-5
3.2.7 Turning On the Equipment............................................................................................................................................................ 3-6
3.2.8 Configuring the Equipment .......................................................................................................................................................... 3-6
3.2.9 Turning off the Equipment ............................................................................................................................................................ 3-6
4 System Setup ..................................................................................................................................................................... 4-1

4.1 Accessing the Main Menu............................................................................................................................................................................ 4-1
4.2 Waveform Setup .............................................................................................................................................................................................. 4-2
4.3 Record Setup .................................................................................................................................................................................................... 4-4
4.4 File Management ............................................................................................................................................................................................ 4-6
4.5 Basic Setup ........................................................................................................................................................................................................ 4-7
4.6 Maintenance ..................................................................................................................................................................................................... 4-9
BeneHeart R12/BeneHeart R12A 1

5 Patient Information ........................................................................................................................................................... 5-1
5.1 Setting Patient Information ........................................................................................................................................................................ 5-1
5.2 Entering Patient Information ..................................................................................................................................................................... 5-1
5.3 Editing Patient Information ........................................................................................................................................................................ 5-3
6 Patient Preparation ........................................................................................................................................................... 6-1

6.1 Relaxing the Patient....................................................................................................................................................................................... 6-1
6.2 Preparing the Skin .......................................................................................................................................................................................... 6-1
6.3 Connecting Lead Wires and Electrodes .................................................................................................................................................. 6-2
6.3.1 ECG Accessories ................................................................................................................................................................................ 6-2
6.3.2 Connecting Chest Lead Wires with Chest Electrodes.......................................................................................................... 6-3
6.3.3 Connecting Limb Lead Wires with Limb Electrodes ............................................................................................................ 6-3
6.4 Applying Electrodes ...................................................................................................................................................................................... 6-4
6.4.1 Electrode Placement ....................................................................................................................................................................... 6-4
6.4.2 Pediatric Lead Placement .............................................................................................................................................................. 6-4
6.4.3 Lead Wire Color Code ...................................................................................................................................................................... 6-5
6.4.4 Applying Reusable Electrodes ..................................................................................................................................................... 6-5
6.4.5 Applying Disposable Electrodes ................................................................................................................................................. 6-6
6.5 When Lead Off Occurs .................................................................................................................................................................................. 6-6
7 Acquiring an ECG ............................................................................................................................................................... 7-1

7.1 Configuring the ECG Waveforms .............................................................................................................................................................. 7-1
7.2 Configuring the ECG Reports ..................................................................................................................................................................... 7-1
7.3 Recording an ECG ........................................................................................................................................................................................... 7-2
7.3.1 Auto Measurement .......................................................................................................................................................................... 7-2
7.3.2 Manual Measurement ..................................................................................................................................................................... 7-2
7.3.3 Rhythm Measurement .................................................................................................................................................................... 7-3
7.4 Printing a Report............................................................................................................................................................................................. 7-4
7.5 Copying a Report ............................................................................................................................................................................................ 7-4
7.6 Saving a Patient Report ................................................................................................................................................................................ 7-4
7.7 Resting 12-lead ECG Analysis ..................................................................................................................................................................... 7-5
7.8 ECG Report ........................................................................................................................................................................................................ 7-6
8 File Management ............................................................................................................................................................... 8-1

8.1 Accessing File Management ....................................................................................................................................................................... 8-1
8.2 Managing Patient Records .......................................................................................................................................................................... 8-1
8.2.1 Accessing Directory List ................................................................................................................................................................. 8-1
8.3 Managing the Configuration...................................................................................................................................................................... 8-2
8.4 Sending Files .................................................................................................................................................................................................... 8-2
9 Troubleshooting ................................................................................................................................................................ 9-1

9.1 General Problems ........................................................................................................................................................................................... 9-1
9.2 Messages ........................................................................................................................................................................................................... 9-3
9.2.1 Message List 1 .................................................................................................................................................................................... 9-4
9.2.2 Message List 2 .................................................................................................................................................................................... 9-7
2 BeneHeart R12/BeneHeart R12A

10 Battery ........................................................................................................................................................................... 10-1
10.1 Overview .......................................................................................................................................................................................................10-1
10.2 Charging the Battery .................................................................................................................................................................................10-1
10.3 Replacing the Battery ...............................................................................................................................................................................10-1
10.4 Battery Guidelines ......................................................................................................................................................................................10-2
10.5 Battery Maintenance .................................................................................................................................................................................10-3
10.5.1 Conditioning a Battery ...............................................................................................................................................................10-3
10.5.2 Checking a Battery .......................................................................................................................................................................10-3
10.6 Battery Recycling ........................................................................................................................................................................................10-4
11 Care and Maintenance .................................................................................................................................................. 11-1

11.1 Cleaning and Disinfecting .......................................................................................................................................................................11-1
11.1.1 Cleaning ...........................................................................................................................................................................................11-2
11.1.2 Disinfecting ....................................................................................................................................................................................11-3
11.1.3 Sterilization .....................................................................................................................................................................................11-3
11.2 Regular Check ..............................................................................................................................................................................................11-4
11.3 Calibrating the Touchscreen...................................................................................................................................................................11-4
11.4 Maintaining the Battery ...........................................................................................................................................................................11-5
11.5 Storing Thermal Recording Paper ........................................................................................................................................................11-5
11.6 Storing Cables and Lead Wires ..............................................................................................................................................................11-5
11.7 Electrical Safety Tests ................................................................................................................................................................................11-5
12 Accessories..................................................................................................................................................................... 12-1
12.1 ECG Accessories ..........................................................................................................................................................................................12-1
12.2 Others .............................................................................................................................................................................................................12-2
A Product Specifications...................................................................................................................................................... A-1

A.1 Classifications ..................................................................................................................................................................................................A-1
A.2 Environmental Specifications ....................................................................................................................................................................A-1
A.3 Power Supply Specifications ......................................................................................................................................................................A-1
A.4 Physical Specifications..................................................................................................................................................................................A-2
A.5 Hardware Specifications ..............................................................................................................................................................................A-2
A.6 System Specifications ...................................................................................................................................................................................A-3
A.7 Measurement Specifications ......................................................................................................................................................................A-3
B EMC and Radio Regulatory Compliance .......................................................................................................................... B-1

B.1 EMC ...................................................................................................................................................................................................................... B-1
B.2 Radio Regulatory Compliance ................................................................................................................................................................... B-5
C Symbols and Abbreviations ............................................................................................................................................. C-1

C.1 Units .................................................................................................................................................................................................................... C-1
C.2 Symbols.............................................................................................................................................................................................................. C-2
C.3 Abbreviations................................................................................................................................................................................................... C-3
D Electrical Safety Inspection............................................................................................................................................. D-1

D.1 Power Cord Plug ............................................................................................................................................................................................ D-1
BeneHeart R12/BeneHeart R12A 3

D.2 Device Enclosure and Accessories ...........................................................................................................................................................D-2
D.3 Device Labeling ..............................................................................................................................................................................................D-2
D.4 Protective Earth Resistance ........................................................................................................................................................................D-2
D.5 Earth Leakage Test .........................................................................................................................................................................................D-3
D.6 Patient Leakage Current ..............................................................................................................................................................................D-3
D.7 Mains on Applied Part Leakage ................................................................................................................................................................D-4
D.8 Patient Auxiliary Current .............................................................................................................................................................................D-4
4 BeneHeart R12/BeneHeart R12A

1 Safety
1.1 Safety Information
WARNING
Indicates a potential hazard or unsafe practice that, if not avoided, could result in death or serious injury.
CAUTION
Indicates a potential hazard or unsafe practice that, if not avoided, could result in minor personal injury or
product/property damage.
NOTE
Provides application tips or other useful information to ensure that you get the most from your product.
BeneHeart R12/BeneHeart R12A 1-1

1.1.1 Warnings
WARNINGS
This equipment is used for a single patient at a time.
Before putting the system into operation, the operator must verify that the equipment, connecting cables
and accessories are in correct working order and operating condition.
To avoid risk of electric shock, this equipment must only be connected to a supply mains with protective
earth. If the installation does not provide for a protective earth conductor, disconnect it from the power line
and operate it on battery power, if possible.
To avoid explosion hazard, do not use the equipment in the presence of oxygen-rich atmospheres,
flammable anesthetics, or other flammable agents, such as gasoline.
Do not open the equipment housings. All servicing and future upgrades must be carried out by the
personnel trained and authorized by our company only.
Do not touch the patient when connecting peripheral equipment via the I/O signal ports to prevent patient
leakage current exceeds the requirements of applicable standards.
This equipment is not intended for use with high frequency surgical units.
Do not contact the patient during defibrillation. Otherwise serious injury or death could result.
For paced patients, the equipment may mistake a pace pulse for a QRS complex if several adverse conditions
exist simultaneously. Always keep these patients under close surveillance.
The physiological data and waveforms displayed on the equipment are for reference only and cannot be
directly used for diagnostic interpretation.
To avoid electric shock or equipment malfunction liquids is not allowed to enter the equipment. If liquids
have entered the equipment, remove the equipment from use and have it checked by service personnel
before it is used again.
To avoid inadvertent disconnection, route all cables in a way to prevent a stumbling hazard. Wrap and
secure excess cabling to reduce the risk of entanglement or strangulation by patients or clinical personnel.
Properly dispose of the package material according to applicable waste control regulations and keeping it
out of childrens reach.
1-2 BeneHeart R12/BeneHeart R12A

1.1.2 Cautions
CAUTIONS
Use only parts and accessories specified in this manual.
This equipment contains no user serviceable parts. Refer servicing to qualified service personnel.
At the end of its service life, the equipment, as well as its accessories, must be disposed of in compliance
with the guidelines regulating the disposal of such products. If you have any questions concerning disposal
of the equipment, please contact us.
Magnetic and electrical fields are capable of interfering with the proper performance of the equipment. For
this reason make sure that all external devices operated in the vicinity of the equipment comply with the
relevant EMC requirements. Mobile phone, X-ray equipment or MRI devices are a possible source of
interference as they may emit higher levels of electromagnetic radiation.
Before connecting the equipment to the power line, check that the voltage and frequency ratings of the
power line are the same as those indicated on the equipments label or in this manual.
Always install or carry the equipment properly to avoid damage caused by drop, impact, strong vibration or
other mechanical force.
1.1.3 Notes
NOTES
Locate the equipment where you can easily see the screen, access the operating controls, and disconnect the
equipment from AC power.
Keep this manual in the vicinity of the equipment so that it can be conveniently referenced when needed.
The software was developed in compliance with IEC60601-1-4. The possibility of hazards arising from
software errors is minimized.
This manual describes all features and options basing on the maximum configuration. Your equipment may
not have all of them.

1.2 Equipment Symbols
Equipotentiality Analog out
Network connector USB connector
Telephone line connector ON/OFF for part of equipment
Battery indicator Alternating current (AC)
Caution Refer to instruction manual/ booklet
DEFIBRILLATION-PROOF TYPE CF Serial number

APPLIED PART
Manufacturer DATE OF MANUAFACTURE
Dispose of in accordance to your Environment-friendly Used Period per

countrys requirements Chinese Standard SJ/T11363-2006
The product bears CE mark Authorized representative in the

indicating its conformity with the European Community
provisions of the Council Directive
93/42/EEC concerning medical
devices and fulfils the essential
requirements of Annex I of this
directive.
China Metrology Certification
NOTE
Some symbols may not appear on your equipment.

2 Equipment Overview
2.1 Intended Use
BeneHeart R12/BeneHeart R12A electrocardiographs (hereafter referred to as the equipment or the system) are
intended to acquire, analyze, display, store, and record electrocardiographic information for adult and children of any
age from birth upwards for clinical diagnosis and study.
The equipment is intended to be used by clinical professionals or under their guidance. It must only be used by persons
who have received adequate training in its use. Anyone unauthorized or untrained must not perform any operation on
it.
2.2 Major Functions

The equipment can be used to:
Acquire, analyze, display, and record 12-lead ECG information.
Provide ECG algorithm to automatically analyze the acquired ECG waveforms; output measurements and diagnosis.
Support auto measurement, manual measurement, and rhythm measurement.
Print ECG reports through either an internal thermal recorder or an external printer.
Store, preview, and review ECG reports.
Connect LAN or Wi-Fi to send ECG data.
Support entering patient information through the keyboard or a barcode reader.
Present messages in case of lead off, interference, low battery, or other abnormity.

2.3 Main Unit
2.3.1 Front and Side View
3
4
2 5
6
1
1. Thermal recorder: prints reports.
2. Hard keys: see Hard Keys and Indicators below.
3. Indicators: see Hard Keys and Indicators below.
4. Display screen: presents waveforms and text.
5. Soft keys: for the equipment configured with a touchscreen. Press the soft keys to select the options.
Soft key labels: for the equipment not configured with a touchscreen.
See Soft Keys below.
6. Soft keys: only for equipment not configured with a touchscreen. The soft keys illuminate when the equipment is
powered on. Press the soft keys to select the options that appear on the right side of the screen. For the equipment
configured with a touchscreen, there are no keys in this area.
7. USB connector: connects USB devices, such as a USB drive, external printer, or barcode reader.
8. Patient cable connector: connects the patient cable for ECG acquisition.
9. Keyboard: see Keyboard Layout below.

Hard Keys and Indicators
Key Function
Power switch Turns on the equipment when the equipment is powered off.
Turns off the equipment by pressing and holding this key for 0.5 second when the equipment
is power on.
Forcefully shuts down the equipment by pressing and holding this key for 10 seconds when it
cannot be shut down normally.
Setup key Accesses the main menu.
Exits a menu and returns to the normal screen when the menu is open.
Leads key Switches the format and leads to be displayed.

Switches leads to be printed during a manual measurement.
ID key Enters the [Patient Info] menu.
ECG key Starts an auto measurement.

Stops the ongoing auto measurement when the preview option is disabled.
Indicator Description
Power indicator On: when the equipment is powered on.
Off: when the equipment is powered off.
Battery indicator Green: when the equipment operates on battery power or the battery is being charged.
Yellow: when the equipment operates on battery power and the battery is low.
Yellow and blink: when the equipment operates on battery power and the battery is
depleted.
Off: when no battery is installed or the battery is fully charged.
AC indicator On: when the AC mains is connected.
Off: when the AC mains is not connected.

Keyboard Layout
1
2 13
4 12
5 5
6
11
7 8 9 10 9
No. Key Description
1 Alphanumeric keys Enters corresponding letters, digits, and symbols.

2 Esc key Returns to the previous screen.
3 Tab key Moves the cursor to the next item.
4 Caps Lock key Locks the capital letters and upper case symbols.
5 Shift key Uses in conjunction with alphanumeric keys to enter the upper case characters. For
example, press Shift + a to enter a capital A, and press Shift + = to enter the symbol +.
6 Ctrl key Not currently used.
7 Prints the latest auto or rhythm report.
key
8 key Switches input method.

9 Alt key Not currently used.
10 Space bar Enters a space.
11 Arrow keys Moves the cursor left, right, up, or down.
12 Enter key Confirms the selection.
13 Back key Deletes the character in front of the cursor.

Soft Keys
Key Function
Adjusts the current waveform speed.
Adjusts the current waveform size.
Adjusts the current frequency of the muscle artifact filter.
Enters the Directory List.
Starts a manual measurement.
Starts a rhythm measurement.
Switches the rhythm leads.
Returns to the previous menu.
Moves to the previous menu item.
Moves to the next menu item.
Selects the highlighted menu item.
Cancels the highlighted selection.
Confirms the selection.
Returns to the normal screen.
Sends the selected files to an external device.
Sends the selected files through the network.
Sent the selected files to a USB drive.
Reviews the highlighted report.
Reviews the next page of the current report.
Reviews the next report.

Key Function
Deletes the selected files.
Starts printing.
Stops printing.
Searches for patients.
Edits patient information.
Saves patient information to the internal memory.
Places a 1 mV square wave on the manual report.
2.3.2 Back View
1 2 3 4 5 6 7
1. Battery compartment
2. USB connector: connects USB devices, such as a USB drive, external printer, or barcode reader.
3. Telephone line connector: for future external devices. Do not use.
4. Network connector: a standard RJ45 connector for software upgrade and sending ECG data.
5. Analog output connector: for future external devices. Do not use.
6. Equipotential Grounding Terminal: when using the monitor together with other devices, connect their
equipotential grounding terminals together to eliminate the potential differences between them.
7. AC power input: connects the power cord to run the equipment on AC power supply.

2.4 Screen Layout
Normal Screen
2 5
3 4
1. Patient and system information area
This area shows patient information including patient ID, gender, age, and heart rate; system information including
network and USB device connecting status, system time, battery status; etc.
2. Waveform area: displays ECG waveforms.
3. Message area 1: displays lead off and noise related messages.
4. Message area 2: displays other messages.
5. Soft key area: shows the soft keys. For the equipment not configured with a touchscreen, this area shows the labels
of the soft keys located rightward.

Main Menu
3 4
1. Heading: shows the menu heading and system information including network and USB device connecting status,
system time, battery status; etc.
2. Options of the main menu
3. Options of the highlighted submenu
4. Soft keys: for the equipment configured with a touchscreen.
Soft key labels: for the equipment not configured with a touchscreen.
2.5 Operating Mode

2.5.1 Normal Mode
The equipment enters the Normal mode after being turned on.
In the Normal mode, you can acquire the patients electrocardiographic information, record ECG waveforms,
measurements, and diagnoses. You can also configure the equipment and export data.
2.5.2 Standby Mode

When any of the limb leads is detached, the equipment automatically enters the Standby mode if the equipment is
inactive for a predefined time limit. The Standby mode helps reducing power consumption and increases the life of LCD.
To set the time to automatically enter the Standby mode,
1. Press the Setup key to enter the main menu.
2. Select [Basic Setup] [Auto Standby].
3. Set the time to automatically enter the Standby mode.

In the Standby mode, the screen is off.
To exit the Standby mode, press any key or touch the touchscreen, if configured. The equipment automatically exits the
Standby mode if:
ECG signal is received.
Information from the barcode reader is received.
2.5.3 Demo Mode

In the Demo mode, the equipment can demonstrate its major functions when a patient or patient simulator is not
connected. The Demo mode is password protected.
To enter the Demo mode,
1. Press the Setup key to enter the main menu.
2. Select [Maintenance], and then select [Demo Mode 1] or [Demo Mode 2].
3. Enter the password.
To exit the Demo mode, turn off the equipment and restart it.
WARNING
The Demo mode is for demonstration purpose only. To avoid the potential risk of the simulated data being
mistaken for the patient data, do not enter the Demo mode during ECG acquisition.
2.5.4 Maintenance Mode

In the Maintenance mode, you can change network and configuration related settings. You can also change UI language.
The Maintenance mode is password protected.

FOR YOUR NOTES

3 Setting up the Equipment
3.1 Installation
WARNING
The equipment shall be installed by personnel authorized by us.
Do not open the equipment housings. All servicing and future upgrades must be carried out by the
personnel trained and authorized by our company only.
The software copyright of the equipment is solely owned by us. No organization or individual shall resort to
altering, copying, or exchanging it or to any other infringement on it in any form or by any means without
due permission.
Devices connected to the equipment must meet the requirements of the applicable IEC standards (e.g. IEC
60950 safety standards for information technology equipment and IEC 60601-1 safety standards for medical
electrical equipment). The system configuration must meet the requirements of the IEC 60601-1-1 medical
electrical systems standard. Any personnel who connect devices to the equipments signal input/output
port is responsible for providing evidence that the safety certification of the devices has been performed in
accordance to the IEC 60601-1-1. If you have any question, please contact us.
If it is not evident from the equipment specifications whether a particular combination with other devices is
hazardous, for example, due to summation of leakage currents, please consult the manufacturers or else an
expert in the field, to ensure the necessary safety of patients and all devices concerned will not be impaired
by the proposed combination.
3.1.1 Unpacking and Checking

Before unpacking, examine the packing case carefully for signs of damage. If any damage is detected, contact the carrier
or us.
If the packing case is intact, open the package and remove the equipment and accessories carefully. Check all materials
against the packing list and check for any mechanical damage. Contact us in case of any problem.
WARNING
When disposing of the packaging material, be sure to observe the applicable waste control regulations and
keep it out of childrens reach.
The equipment might be contaminated during storage and transport. Before use, please verify whether the
packages are intact, especially the packages of single use accessories. In case of any damage, do not apply it
to patients.

NOTE
Save the packing case and packaging material as they can be used if the equipment must be reshipped.
3.1.2 Environmental Requirements

The equipment is suitable for use in the patient environment.
The operating environment of the equipment must meet the requirements specified in this manual.
The equipment operating environment should be reasonably free from noises, vibration, dust, corrosive, flammable and
explosive substances. If the equipment is installed in a cabinet, sufficient space in front and behind should be left for
convenient operation, maintenance and repair. Moreover, to maintain good ventilation, the equipment should be at
least 5 cm away from around the cabinet.
When the equipment is moved from one place to another, condensation may occur as a result of temperature or
humidity difference. In this case, never start the system before the condensation disappears.
WARNING
Make sure that the operating environment of the equipment meets the specific requirements. Otherwise
unexpected consequences, e.g. damage to the equipment, could result.
To avoid explosion hazard, do not use the equipment in the presence of oxygen-rich atmospheres,
flammable anesthetics, or other flammable agents, such as gasoline.
Magnetic and electrical fields are capable of interfering with the proper performance of the equipment. For
this reason make sure that all external devices operated in the vicinity of the equipment comply with the
relevant EMC requirements. Mobile phone, X-ray equipment or MRI devices are a possible source of
interference as they may emit higher levels of electromagnetic radiation.
The mains plug is used to isolate the equipment circuits electrically from the SUPPLY MAINS. Do not position
the equipment so that it is difficult to operate the plug.
Before connecting the equipment to the power line, check that the voltage and frequency ratings of the
power line are the same as those indicated on the equipments label or in this manual.
NOTES
Put the equipment in a location where you can easily see the screen and access the operating controls.
Keep this manual in the vicinity of the equipment so that it can be conveniently referenced when needed.

3.2 Setting up the Equipment
Observance of this manual is a prerequisite for proper product performance and correct operation and ensures patient
and operator safety.
3.2.1 Connecting the AC Mains

You can run this equipment either on AC power supply or battery power.
Before connecting the equipment to the AC mains, check that the voltage and
frequency ratings of the power line are the same as those indicated besides the
AC power input.
To use the AC power source,
1. Connect the female end of the power cord with the AC power input on the equipments back.
2. Connect the male end of the power cord with a wall AC outlet.
3. Check that the AC indicator is on.
WARNING
Use only the supplied power cord.
Where the integrity of the external protective conductor in the installation or its arrangement is in doubt,
the equipment shall be operated from the battery. Otherwise the patient or operator might be shocked.
3.2.2 Using the Battery

You can run this equipment on a rechargeable lithium battery. When a battery is installed, the equipment will
automatically run power from the battery in case of AC power failure.
Installing the Battery
The battery must only be installed by service personnel trained and authorized by our company. No battery is installed
when the equipment leaves the factory. Contact your service personnel to install the battery before putting the
equipment into use.
To prevent data loss in case of sudden power failure, we recommend you always install a fully charged battery in the
equipment.

Charging the Battery
The battery is charged whenever the equipment is connected to an AC power source regardless of whether or not the
equipment is currently turned on.
When the battery is being charged, the battery indicator is illuminated in green. The on-screen battery symbol
dynamically shows the charging status if the equipment is powered on.
NOTE
Charge the battery before it is first put into use.
3.2.3 Loading the Paper

You can print reports either through the thermal recorder or through an external printer. Before printing reports, ensure
that the paper is loaded.
The thermal recorder supports Z-fold

paper. To load the paper:
1. Lift the level at the bottom of the

paper tray and pull out the paper Paper guide
1 2
tray until it stops.
2. Place a stack of paper in the tray so

that the print side (grid side) faces
up and the black mark on the lower
left corner of the paper is visible.
3. Lift the first sheet of paper, flip it

over the roller holder, and align the 4
Paper guide 3
upper edge of the paper with the
paper guide.
4. Firmly push the paper tray until it

snaps back into place.
Black mark
The equipment can print either on A4
(295 mm 210 mm) or US Letter (8.5 11) paper. The paper tray is configured to meet the appropriate paper size for
the destination location when the equipment leaves the factory.
To change the paper size, move the white plastic spacer bar in the paper tray to limit the paper tray.
For A4 sized paper, insert the spacer in the slot at the top of the paper tray.
For US Letter sized paper, insert the spacer in the slot at the bottom of the paper tray.
NOTE
Use only thermal recording paper we supply.

3.2.4 Connecting the Patient Cable
1. Plug the patient cable to the connector on the right side of the equipment. Ensure the connector on the cable is
arrow-side up.
2. Tight the screws to securely attach the patient cable to the equipment.
3.2.5 Connecting the Barcode Reader

If your equipment is configured with a barcode reader, connect it to the equipments USB connector. You can enter
patient information through the barcode reader.
NOTE
Restore the barcode reader to factory default configuration before using it.
3.2.6 Checking the Equipment before Power On

Before powering on the equipment, check the following:
Operating environment
Check and make sure that there is no electromagnetic interference source around the equipment, especially large
medical electrical equipment such as radiological equipment and magnetic resonance imaging equipment etc.
Switch off these devices when necessary.
Keep the examination room warm (no less than 18 C) to avoid muscle action voltages in ECG signal caused by cold.
Power supply
Check that power supply specification is met and the power cord is securely connected if the mains power is used.
Use only power socket that is properly grounded.
Check that a battery is installed and fully charged if you want to run the equipment on battery power.
Patient cable
Check that the patient cable is firmly connected to the equipment.
Recording paper
Check that recording paper is correctly loaded.
WARNING

3.2.7 Turning On the Equipment
Once the equipment has been installed and checked, you can get ready for measurement and recording:
1. Connect the equipment with AC mains. If you run the equipment on battery power, ensure that the battery is
sufficiently charged.
2. Press the Power switch.
WARNING
Do not use the equipment on a patient if you suspect that it is not working properly, or if it is mechanically
damaged. Contact your service personnel or us.
3.2.8 Configuring the Equipment

Configure your equipment before the first use:
1. Press the Setup key to access the main menu.
2. Select [Basic Setup].
3. Respectively set [Date], [Time], and [Brightness].
You can also set other items as needed. Refer to 4 System Setup for details.
3.2.9 Turning off the Equipment

Before turning off the equipment:
1. Confirm that patient measurement and recording are finished.
2. Disconnect the electrodes from the patient.
Then press and hold the Power switch for approximately 0.5 second to turn off the equipment.
CAUTION
Although not recommended, you can press and hold the Power switch for 10 seconds to forcibly shut down
the equipment when it could not be shut down normally or under some special situations. This may cause
loss of data.

4 System Setup
4.1 Accessing the Main Menu
Press the Setup key to access the main menu. To configure the equipment:
Press the arrow keys on the keyboard to select a menu option.
Press the [Prev] or the [Next] soft key to move to the previous or the next menu item.
Press the [Back] soft key or the [Esc] key on the keyboard to return to the previous menu.
Press the [Select] or the [Cancel] soft key to select or deselect a menu item.
Press the [Enter] soft key or the Enter key on the keyboard to confirm the selection.
The settings in the main menu are saved as user defaults and remain effective even after the equipment is turned off
and restarted.

4.2 Waveform Setup
Menu item Option Default Description
Muscle Artifact 20 Hz , 35 Hz, Off 35 Hz Sets the default frequency of muscle artifact filter.
Filter Muscle artifact filter attenuates noise in the
waveform by restricting the frequencies that are
included.
The muscle artifact filter is a low-pass filter. That is to
say signals that exceed the set frequency are filtered
out.
[35 Hz]: only signals at 35 Hz or less display. Signals
exceeds 35 Hz are attenuated.
[20 Hz]: only signals at 20 Hz or less display. Signals
exceeds 20 Hz are attenuated.
[Off]: signals at 150 Hz or less display.
Baseline Drift Selected, not selected Selected Select whether the baseline drift removal (BDR)
Removal process or 0.05-Hz filter is used.
If selected, BDR is enabled. This process suppresses
most baseline drift interference and also is able to
preserve the fidelity of the ST-segment level.
If not selected, BDR is disabled and the 0.05-Hz filter
is used.
NOTE: BDR or 0.05-Hz selection applies to the
displayed ECG, printed report, and analyzed and
stored data.
BDR introduces around 1-second delay. We
recommend use of BDR except when the delay is
unacceptable.
Both BDR and 0.05-Hz selections meet requirements
of the 1990 American Heart Association
Recommendations for Standardization and
Specifications in Automated Electrocardiography:
Bandwidth and Signal Processing pertaining to
lower-frequency response in electrocardiography.
AC Filter Selected, not selected Selected Selects whether electrical interference is filtered
from AC line voltage.
If selected, the AC filter is enabled to filter electrical
interference from AC line voltage.
Note: The AC filter should be on. Turn off only if
necessary.

Screen Waveform 31, 61, 34+1, 34+3, 34+1 Selects the default format of ECG waveforms
Format 62, 62+1, 121 displayed on the screen.
[31]: displays 12-lead ECG waveforms in four
pages, with 3 waveforms in one column in each
page.
[61]: displays 12-lead ECG waveforms in two
pages, with 6 waveforms in one column in each
page.
[121]: displays 12-lead ECG waveforms in one
page in one column.
[62]: displays 12-lead ECG waveforms in one page
in two columns, with 6 lines in each column.
[34+1]: displays 12-lead ECG waveforms in one
page in 4 columns, with 3 lines in each column, and
one rhythm lead waveform at the bottom.
So it is with [34+3] and [62+1].
Speed 5 mm/s, 12.5 mm/s, 25 mm/s, 25 mm/s Selects the default printing speed.
50 mm/s
Gain 2.5 mm/mV, 5 mm/mV, 10 10 mm/mV Select the default amplitude of 1mV ECG signal.
mm/mV, 20 mm/mV, Auto, L The larger the setting is, the larger the waveform
10 C5, L=20 C=10 size. However, only the appearance of the waveform
changes. The signal strength is not affected.
[L=10 C=5]: displays the limb lead waveforms at an
amplitude of 10 mm/mV; displays chest lead
waveforms at an amplitude of 5 mm/mV.
[L=20 C=10]: displays the limb lead waveforms at
an amplitude of 20 mm/mV, displays chest lead
waveforms at an amplitude of 10 mm/mV.
[Auto]: automatically selects the gain as per the
amplitude of ECG waveforms.
Pacemaker Label Selected, not selected Selected Selects whether a mark is placed on each ECG
waveform when a pace pulse is detected.
If selected, a pace pulse mark is placed on each
ECG waveform when a pace pulse is detected.
If not selected, no mark is placed when a pace pulse
is detected.
Lead Sequence Standard, Cabrera Standard Select ECG lead sequence for displaying and
printing.
[Standard]: the sequence is I, II, III, aVR, aVL, aVF, V1,
V2, V3, V4, V5, V6.
[Cabrera]: the sequence is aVL, I, -aVR, II, aVF, III, V1,
V2, V3, V4, V5, V6.

4.3 Record Setup
Rhythm Format One lead, Three Leads One lead Selects how many rhythm leads are recorded during
rhythm measurement.
Standard Report 34+1, 34+3, 62, 62+1, 34+1 Selects the format of standard ECG report
Format 121 generated by auto measurement.
[34+1]: displays 12-lead ECG waveforms in 3 lines
and 4 columns followed by the first rhythm lead
waveform.
So it is with other formats.
Rhythm Lead 1 I, II, III, aVR, aVL, aVF, V1, V2, II Selects the first rhythm lead to be recorded during
V3, V4, V5, V6 auto measurement and rhythm measurement.
Rhythm Lead 2 I, II, III, aVR, aVL, aVF, V1, V2, V2 Selects the second rhythm lead to be recorded
V3, V4, V5, V6 during auto measurement and rhythm
measurement.
Rhythm Lead 3 I, II, III, aVR, aVL, aVF, V1, V2, V5 Selects the third rhythm lead to be recorded during
V3, V4, V5, V6 auto measurement and rhythm measurement.
Paperless Selected, not selected Not selected Selects whether ECG report is printed during auto
Recording measurement.
If selected, ECG report is not printed.
If not selected, ECG report is automatically printed
at the completion of ECG acquisition and analysis.
Reanalysis Selected, not selected Selected Selects whether the ECG data is reanalyzed when
the patients age, date of birth, gender, race,
medication, or V3 placement is changed.
Modifying patient information may change
diagnostic statements produced by the algorithm.
Consider to enable reanalyzing process.
Pre-acquisition Selected, not selected Selected During auto measurement, selects whether the ECG
data acquired before pressing the ECG key is
recorded.
If selected, the equipment records 10 seconds of
ECG data acquired before the ECG key is pressed. If
less than 10 seconds of data is acquired, the
message ECG Data Insufficient displays at the
bottom of the screen.
If not selected, the equipment records 10 seconds
of ECG data acquired after the ECG key is pressed.
Extend Record Selected, not selected Not selected Select whether the equipment automatically
performs a rhythm measurement and print a
rhythm report if critical values Extreme
Tachycardia, Extreme Bradycardia, or
Significant Arrhythmia are detected at the
completion of auto measurement.

Report Analysis / / Enters the [Report Analysis Setup] menu.
Setup
Printing Device Thermal Recorder, External Thermal Selects what printing device is used to output the
Printer Recorder reports.
Printer High Quality, Standard Standard Selects the quality of reports produced by the
Resolution external printer.
[Standard]: the printout resolution is 300 dpi.
[High Quality]: the printout resolution is 600 dpi.
Printout Grid Selected, not selected Selected Selects whether a grid is printed behind the
waveforms on the ECG report produced by the
external printer. A grid may make reading ECG
waveforms easier.
Report Analysis Setup

Median Selected, not Not Selects whether Median Complex is included on the ECG report
Complex selected selected generated by auto measurement.
Median Complex displays a median complex waveform for each lead
and a lead II waveform of 10 seconds in 3x4+1 format.
Measurement Selected, not Not Selects whether Measurement Matrix is included on the ECG report
Matrix selected selected generated by auto measurement.
32 measurements for each lead are provided. The measurements are:
Pon (ms), Pdur (ms), QRSon (ms), QRSdur (ms), Qdur (ms), Rdur (ms),
Sdur (ms), R'dur (ms), S'dur (ms), P+dur (ms), QRSdef (ms), P+amp
(V), P-amp (V), QRSp2p (V), Qamp (V), Ramp (V), Samp (V),
R'amp (V), S'amp (V), STamp (V), 2/8STT (V), 3/8STT (V), T+amp
(V), T-amp (V), QRSarea (V*ms), Rnotch, DWconf (%), STslope
(deg), Ton (ms), Tdur (ms), T+dur (ms), QTint (ms).
Measurement Selected, not Selected Selects whether measurement result is included on the ECG report
selected generated by auto measurement.
Measurement result includes Vent. Rate, PR Interval, QRS Duration,
QT/QTc Interval, and P/QRS/T Axes.
Interpretation Selected, not Selected Selects whether diagnoses are included on the ECG report generated
selected by auto measurement.
Interpretation Selected, not Selected Selects whether interpretation summary is included on the ECG
Summary selected report generated by auto measurement.
Note: If the [Interpretation] option is not enabled, interpretation
summary is not included on the report even if [Interpretation
Summary] is selected.
Tachy 80-130 100 Adjusts tachycardia threshold. Heart rates above the setting are
labelled Tachycardia.
Only applies to patients whose age exceeds 180 days.
Brady 40-60 50 Adjusts bradycardia threshold. Heart rates below the setting are
labelled Bradycardia.

Only applies to patients whose age exceeds 2191 days.
QTc Formula Hodges, Bazett, Hodges Selects QTc formula.
Fridericia, Hodges: QTc QT 1.75 ( HeartRate 60 )
Framingham
1
Bazett: QTc QT HeartRate 2
60
1
Fridericia: QTc QT HeartRate 3
60
Framingham: QTc QT 154 1 60

HeartRate
4.4 File Management

Preview Selected, not selected Not selected During auto measurement selects whether the ECG
report is previewed before being printed.
Auto Send Selected, not selected Not selected During auto measurement selects whether the ECG
report is automatically sent out through the network
after measurement finished.
You can enable Auto Send only when the Preview
function is disabled.
Auto Save Selected, not selected Selected During auto measurement selects whether the ECG
report is automatically saved on the internal storage
after measurement finishes.
Auto Delete after Selected, not selected Not selected Selects whether ECG report is automatically deleted
Transmission from the internal storage after being sent out
through the network.
Delete the Oldest Selected, not selected Selected Selects whether the earliest report is deleted when
Report the internal storage is full.
If selected, the earliest report is automatically
deleted when a new report is saved.
If not selected, prompts whether the earliest report
is deleted and the current report is saved.
File Format Mindray, XML, PDF Mindray Selects the format of the report exported to the USB
drive.
PDF Grid Selected, not selected Selected Select whether there is a grid behind the waveforms
when a PDF format report is printed.
Record File List / / Starts printing the Directory List.

4.5 Basic Setup
Patient Info / / Enters the [Patient Info Setup] menu.

Setup
Date Year: 2012-2099 Year: 2012 Sets the current date.
Month: 01-12 Month: 01
Day: 01-31 Day: 01
Time Hour: 00-23 (24 h) Hour: 00 Sets the current time.
12 am-11 pm (12 h) Minute: 00
Minute: 00-59 Second: 00
Second: 00-59
Date Format yyyy-mm-dd, mm-dd-yyyy, yyyy-mm-dd Selects the date format.
dd-mm-yyyy
Time Format 12 h, 24 h 24 h Selects the time format.
Lead Notation AHA, IEC AHA Sets lead notation.
Institution Name / / Enters the name of the institution.
Calibrate / / Accesses touchscreen calibration.
Touchscreen Note: only equipment configured with the
touchscreen has this option.
Brightness 1-5 3 Adjusts the display brightness. 1 is the dimmest; 5 is
the brightest.
Notification Tone Selected, not selected Not selected Selects whether a notification tone sounds when a
message occurs.
However, the equipment always gives a notification
tone when some messages occur regardless of the
setting of [Notification tone]. Refer to 9.2
Messages.
Heart Beep Selected, not selected Not selected Selects whether the heartbeat tone is enabled.
Auto Standby 5 Minutes, 10 Minutes, 15 5 Minutes Sets the time after which the equipment
Minutes, 20 Minutes, 25 automatically enters the Standby mode.
Minutes, 30 Minutes, Off When any of the limb leads is detached, the
equipment automatically enters the Standby mode
if the equipment is inactive for a predefined time
limit.
[Off]: The equipment does not automatically enter
the Standby mode.
Note: the setting of [Auto Standby] should not
exceed the setting of [Auto Shut Down].
Auto Shut Down 5 Minutes, 10 Minutes, 15 Off Sets the time after which the equipment
Minutes, 20 Minutes, 25 automatically shuts down.
Minutes, 30 Minutes, Off When any of the limb leads is detached, the
equipment automatically shuts down if the
equipment is inactive for a predefined time limit.
[Off]: The equipment does not automatically shut
down.
[Patient Info Setup] Menu
Required patient information
You should enter the required information for a new patient.

ID Selected, not selected Not selected Selects whether the patient ID is defined as required
patient information.
Last Name Selected, not selected Not selected Selects whether the patients last name is defined as
required patient information.
First Name Selected, not selected Not selected Selects whether the patients first name is defined as
Age Selected, not selected Not selected Selects whether the patients age is defined as
Gender Selected, not selected Not selected Selects whether the patients gender is defined as
Detailed Patient Info
The detailed information helps you to know more about the patient.
Secondary ID Selected, not selected Not selected Selects whether the patients secondary ID is
included on the ECG report as patient information.
DOB Selected, not selected Not selected Selects whether the patients date of birth is
Race Selected, not selected Not selected Selects whether the patients race is included on the
ECG report as patient information.
Medication 1 Selected, not selected Not selected Selects whether the medication taken by the patient
is included on the ECG report as patient information.
Medication 2 Selected, not selected Not selected Selects whether the medication taken by the patient
is included on the ECG report as patient information.
Class 1 Selected, not selected Not selected Selects whether the patients class is included on the
Class 2 Selected, not selected Not selected Selects whether the patients class is included on the
V3 Placement Selected, not selected Not selected Selects whether the setting of V3 placement is
Physician Selected, not selected Not selected Selects whether the physician who supervises the
ECG is included on the ECG report as patient
information.
Technician Selected, not selected Not selected Selects whether the technician who conducts the
ECG measurement is included on the ECG report as
patient information.
Department Selected, not selected Not selected Selects whether the patients department is
Room Selected, not selected Not selected Selects whether the patients room number is

Bed Selected, not selected Not selected Selects whether the patients bed number is
Keep Previous / / Select which required patient information is kept for
Input the next patient.
Information
4.6 Maintenance
Network Type LAN, WLAN LAN Selects the type of network through which the
equipment is connected.
Network Name / / When connects WLAN, enters the SSID.
(SSID)
Password / / Enters the password to connect the WLAN.
IP Address 0 - 255 192.168.0.100 Enters the IP address of the equipment.
Subnet Mask 0 - 255 255.255.255.0 Enters the subnet mask of the equipment.
Default Gateway 0 - 255 192.168.0.254 Enters the IP address of the default gateway.
Server IP Address 0 - 255 192.168.0.101 Enters the IP address of the FTP server.
FTP Port 0 - 65535 21 Enters FTP port.
FTP Username / / Enters FTP username.
FTP Password / / Enters FTP password.
Demo Mode 1 / / Enters the password to access Demo Mode 1. To
exit the Demo mode, turn off the equipment and
restart it.
Demo Mode 2 / / Enters the password to assess Demo Mode 2. To
exit the Demo mode, turn off the equipment and
restart it.
Restore Default / / Restores the factory default configuration.
Configuration This does not change the current language setting.
Load / / Imports the configuration file on the USB drive to
Configuration the internal memory.
Export / / Exports the configuration file on the internal
Configuration memory to the USB drive.
Print / / Prints the current configuration.
Configuration
Language ENGLISH, SIM. CHINESE, ENGLISH Selects UI language.
FRENCH, GERMAN, ITALIAN,
POLISH, SPANISH,
PORTUGUESE, RUSSIAN,
CZECH, TURKISH,
HUNGARIAN, ROMANIAN
AC Filter 50 Hz, 60 Hz 50 Hz Selects the frequency of the AC power line filter.

Modify Password / / Modifies the password to access the Maintenance

mode.
Factory / / Enters the password to access Factory
Maintenance Maintenance.

5 Patient Information
5.1 Setting Patient Information
Some patient information may directly affect ECG analysis. Complete and correct patient information is helpful for
accurate diagnosis and treatment of the patient. For a new patient, enter patient information before taking an ECG
measurement.
Patient information is classified as required information and detailed information. The required information must be
entered. In the [Patient Info] menu, an asterisk (*) is placed before the required information. The detailed information
helps you to know more about the patient.
To set patient information:
2. Select [Basic Setup] [Patient Info Setup] to enter the [Patient Info Setup] menu.
3. Select the required patient information and detailed patient information as necessary.
5.2 Entering Patient Information

Before taking an ECG measurement, enter patient information.
You can:
Manually enter patient information.
Read patient ID with a barcode reader.
Select the patient from the Patient List.

Manually Entering Patient Information
To manually enter the patient information:
1. Press the ID key to enter the [Patient Info] menu.
2. In the [New Patient] sheet, enter the patient information.
3. Press the [Save] soft key to save the patient information.
NOTE
You can save patient information only when all the required patient information is entered.
We recommend using pediatric lead placement V4R, V1, V2, V4 - V6 if the patient is under 16 years of age.
Please record V4R using the V3 electrode. Also set [V3 Electrode Placement] to [V4R]. This is a normal
practice for a patient of this age.
Reading Patient ID Using the Barcode Reader
To read the patient ID with a barcode reader:
1. Check that the barcode reader is connected to the USB connector.
2. Press down the button on the reader handle, and target the reader to the barcode.
Then the [Patient Info] menu pops up with the patient ID entered.
3. Enter other patient information as necessary.
Selecting a Patient from the Patient List
2. Select [Patient List] to enter the [Patient List] sheet.
3. Select a patient and edit the patient information as necessary.
After the patients information is saved, the patient is added to the Patient List. The Patient List can include up to 500
patients.

5.3 Editing Patient Information
You can edit the information of the current patient.
To edit the patient information:
2. Select [Edit Patient ID] to enter the [Edit Patient ID] sheet.
3. Modify or enter the patient information as necessary.
Editing patient information updates the information of corresponding patient in the Patient List.

FOR YOUR NOTES

6 Patient Preparation
6.1 Relaxing the Patient
Before applying electrodes, greet the patient and explain the procedure. Explaining the procedure decreases anxiety
and informs the patient about what to expect.
Assure the patient that there is no danger or discomfort involved. Explain that full cooperation will produce a
valuable diagnostic record.
Lay the patient on a bed with arms rest at the side and legs lying flat and not touching. Ensure the patient is
comfortable and relaxed.
Once the electrodes and lead wires are applied, instruct the patient to:
Remain still and do not talk.
Breathe normally.
Try not to shiver.
Do not chew or clench teeth.
The more relaxed the patient is, the less the ECG will be affected by noise.
6.2 Preparing the Skin

Careful skin preparation is the key to high-quality ECG signals. To prepare the skin:
1. Expose the chest and electrode sites on the limbs.
2. Shave hair from each electrode site.
3. Degrease each electrode site with alcohol and abrade slightly with dry gauze to remove dead skin cells.
4. Dry the skin completely.

6.3 Connecting Lead Wires and Electrodes
Before acquiring the patients ECG, check that all electrodes are correctly connected to the lead wires and the patient
cable is plugged securely into the connector on the right side of the equipment.
CAUTION
Ensure that all leads are connected and all electrodes are applied to correct sites. Ensure the conductive
parts of the patient cable and electrodes, including the neutral electrode, do not contact other conductive
parts, including earth.
Polarizing electrodes may cause the electrodes to retain a residual charge after defibrillation. Residual
charge will block the acquisition of ECG signal.
Never mix patient electrode types or brands. Dissimilar metals or other incompatibilities may cause
considerable baseline drift and may increase trace recovery time after defibrillation.
Do not reuse disposable electrodes. Reuse may cause a risk of contamination and affect the measurement
accuracy.
Reusable electrodes shall be cleaned and disinfected before applying to the patient.
Use disposable electrodes when the equipment is in use with a defibrillator.
6.3.1 ECG Accessories

Patient Cable
The patient cable consists of a connector, a trunk cable, 4 limb lead wires and 6 chest lead wires. The lead wires are
color-coded. Refer to 6.4.3 Lead Wire Color Code.
1
2
1. Connector: connects to the electrocardiograph
2. Trunk cable
3. Limb lead wires: connect limb electrodes
4. Chest lead wires: connect chest electrodes

Chest Electrode
The chest electrode consists of a bulb and a metal electrode. On the metal electrode, there are two lead wire
connectors: one for lead wire with 3.0 mm connector; the other for lead wire with 4.0 mm connector.
1. Bulb
1
2. Lead wire connector (3.0)
3. Lead wire connector (4.0)

2 3
4 4. Metal electrode
Limb Electrode
The limb electrode consists of a plastic clamp and a metal electrode. On the metal electrode, there are two lead wire
connectors: one for lead wire with 3.0 mm connector; the other for lead wire with 4.0 mm connector.
1
1. Lead wire connectors
2. Metal electrode
3. Clamp
2 3
6.3.2 Connecting Chest Lead Wires with Chest Electrodes

Respectively plug the chest lead wires into the lead wire connectors of the 6 chest electrodes. Adjust each lead wire to
make sure the electrode and lead wire properly come into contact.
6.3.3 Connecting Limb Lead Wires with Limb Electrodes

Respectively plug the limb lead wires into the lead wire connectors of the 4 limb electrodes. Adjust each lead wire to
make sure the electrode and lead wire properly come into contact.
Note
The limb electrodes are color coded. Make use limb lead wire and limb electrode of the same color are
connected.

6.4 Applying Electrodes
6.4.1 Electrode Placement
AHA IEC Electrode placement
V1 C1 Fourth intercostal space at the
V1(C1) right sternal border

V2 C2 Fourth intercostal space at the
V4(C4)
left sternal border
V3 C3 Midway between V2 (C2) and
V2(C2) V4 (C4) electrode positions
V6(C6)
V4 C4 Fifth intercostal space at the
V3(C3)
V5(C5) left midclavicular line
V5 C5 Left anterior axillary line,
horizontal with the V4 (C4)
electrode position
V6 C6 Left midaxillary line, horizontal
with the V4 (C4) electrode
position
RA R Above right wrist
RA(R) LA(L) LA L Above left wrist

RL N Above right ankle
LL F Above left ankle
RL(N) LL(F)
6.4.2 Pediatric Lead Placement

When acquiring a pediatric ECG, an alternative to the standard V3 (C3)
placement may be used. Place the electrode in the V4R (C4R) position. This is
across the sternum from V4 (C4).
V4R

6.4.3 Lead Wire Color Code
IEC AHA
Lead
Label Color Label Color
Right arm R Red RA White
Left arm L Yellow LA Black
Right leg (neutral) N Black RL Green
Left leg F Green LL Red
Chest 1 C1 White/Red V1 Brown/Red
Chest 2 C2 White/Yellow V2 Brown/Yellow
Chest 3 C3 White/Green V3 Brown/Green
Chest 4 C4 White/Brown V4 Brown/Blue
Chest 5 C5 White/Black V5 Brown/Orange
Chest 6 C6 White/Violet V6 Brown/Violet
6.4.4 Applying Reusable Electrodes

Applying Limb Electrodes
Limb electrodes should be placed on fleshy areas above the inside wrists and ankles, not on the bone.
1. Check that the electrodes are clean.
2. Connect the four limb electrodes with corresponding lead wires as indicated by the color. Route the lead wires to
avoid twisting.
3. Expose the patients arms and legs.
4. Prepare the skin as describe in 6.2 Preparing the Skin.
5. Apply a thin layer of conductive gel on each electrode site.
6. Apply a thin layer of conductive gel on each metal electrode.
7. Place the electrodes on the limb sites above the inside ankles and wrists.
8. Make sure the patient cable is tightly connected to the equipment and electrodes are correctly connected with
the lead wires.
Applying Chest Electrodes
1. Check that the electrodes are clean.
2. Connect the six chest electrodes with the chest lead wires. Route the lead wires to avoid twisting.
3. Expose the patients chest.
5. Apply a thin layer of conductive gel on each electrode site. Ensure the gel from one site does not touch another
site.
6. Apply a thin layer of conductive gel on the metal electrodes.
7. Apply the electrodes by squeezing the rubber bulb and allowing suction to hold the electrodes in place.
the lead wires.

WARNING
The bulbs of the chest electrode contain latex, a material that can cause allergic reactions. Monitor the
electrodes site and, if irritation occurs, use an alternate electrode.
The reusable electrodes contain nickel, a material that can cause skin irritation. Monitor the electrode sites
and, if irritation occurs, use an alternate electrode.
NOTE
To obtain high-quality ECG signal, make sure that the metal electrodes firmly contact the skin.
The metal electrodes and placement sites must be clean.
When placing the chest electrodes, ensure that the metal electrodes do not touch each other and the
conductive gel from one application site does not touch another site.
The metal plate of the limb electrode may be loose due to frequently plugging and unplugging the lead
wire. Make sure the lead wire is firmly connected with the electrode.
Reusable electrodes must be cleaned and disinfected after each use.
6.4.5 Applying Disposable Electrodes

1. Expose the patients chest.
3. Place the electrodes firmly on the correct sites.
Limb electrodes should be placed on fleshy areas above the inside wrists and ankles, not on the bone.
4. Route the lead wires to avoid twisting. Connect the lead wires with the electrodes.
the lead wires.
6.5 When Lead Off Occurs

The system prompts lead off when electrodes are detached, or any of the lead wires is poorly connected with the
electrode, or patient cable detaches the equipment.
When any of the electrodes on the patients left arm, left leg, or right arm is detached, or any of LA/L, LL/F, RA/R
lead is off, the system respectively prompts LA Lead Off (L Lead Off), LL Lead Off (F Lead Off), or RA Lead
Off (R Lead Off).
When any of the chest electrodes or leads is detached, the system respectively prompts V (X) Lead Off (C (X)
Lead Off), in which X represents 1 - 6.
When RL/N electrode or lead is off, or two or more limb leads are detached, or the patient cable detaches the
equipment, the system prompts Limb Lead Off.
In this case, check that the electrodes are firmly attached to the skin, the lead wires are properly connected with the
electrodes, and the patient cable is tightly connected to the equipment.

7 Acquiring an ECG
WARNING
Do not contact the patient during defibrillation. Otherwise serious injury or death could result.
For paced patients, the equipment may mistake a pace pulse for a QRS complex if several adverse conditions
exist simultaneously. Always keep these patients under close surveillance.
Ensure that all leads are connected and all electrodes are applied to correct sites. Ensure the conductive
parts of the patient cable and electrodes, including the neutral electrode, do not contact other conductive
parts, including earth.
To avoid inadvertent disconnection, route all cables in a way to prevent a stumbling hazard. Wrap and
secure excess part to reduce the risk of entanglement or strangulation by patients or clinical personnel.
The bulb of the chest electrode contains latex, a material that can cause skin irritation. Monitor the
electrode site and, if irritation occurs, use an alternate electrode.
The auto measurements and diagnoses are for reference only and cannot be directly used for patient
treatment.
7.1 Configuring the ECG Waveforms

Before starting an ECG measurement, configure the ECG waveforms:
Press the first soft key to adjust the current waveform speed.
Press the second soft key to adjust the current waveform size.
Press the third soft key to adjust the current frequency of the muscle artifact filter.
You can also configure the ECG waveforms by accessing the [Wave Setup] menu. Refer to 4.2 Waveform Setup for
detail.
7.2 Configuring the ECG Reports

The contents and format of the ECG reports are configurable. You can configure the ECG reports by accessing the
[Report Setup] menu. Refer to 4.3 Record Setup.

7.3 Recording an ECG
7.3.1 Auto Measurement
During the auto measurement, the equipment automatically acquires 10 seconds of 12-lead ECG waveforms, analyzes
the ECG data, and then prints a report as per system setup.
To start an auto measurement:
1. Prepare the patient as described in Chapter 6 Patient Preparation.
2. Enter patient information as described in 5.2 Entering Patient Information.
3. Adjust waveform speed, waveform size, and the frequency of muscle artifact filter.
4. Check other waveform and report settings by selecting Setup [Waveform Setup] and [Report Setup].
5. Press the ECG key to start an auto measurement.
If the preview option is disabled, the equipment automatically prints the ECG report after ECG data is acquired and
analyzed.
If the preview option is enabled, the preview of the ECG report displays. You can:
Select the [Home] soft key or the [Esc] hard key to discard the report and return to the normal screen.
Select the [Send] soft key to send the report to the external device.
Select the [Edit] soft key to edit the patient information.
Select the [Next Page] soft key to display the next page of the report, if there is any.
Select the [Print] soft key to print the report.
If the auto save function is disabled, select the [Save] soft key to manually save the report to the internal storage.
The equipment automatically stops recording when the ECG report has been printed. You can also press the [Stop] soft
key to interrupt printing.
7.3.2 Manual Measurement

During the manual measurement, the equipment continuously prints the waveforms of selected leads in real time. The
manual measurement provides only printed report. There are no measurement results and diagnoses. You cannot save
the report or send it to the external device.
To generate a manual report:
3. Press the Leads key to switch the leads to be recorded.
4. Adjust waveform speed, waveform size, and the frequency of muscle artifact filter.
5. Check other waveforms and report settings by selecting Setup [Waveform Setup] and [Report Setup].
6. Select the [Manual] soft key to start recording.
7. Select the [Stop] soft key to stop recording.

During a manual measurement, you can:
Select the [1 mV] soft key to place a 1 mV square wave on each waveform.
Press the Leads key to switch the leads to be recorded.
7.3.3 Rhythm Measurement

During the rhythm measurement, the equipment acquires 60 seconds of 12-lead ECG and prints the waveforms of the
rhythm lead.
The rhythm measurement provides only printed report. There are no measurement results and diagnoses. You cannot
save the report or send it to the external device.
To generate a rhythm report:
3. Set [Rhythm Format], [Rhythm lead 1], [Rhythm Lead 2], and [Rhythm Lead 3] by selecting Setup [Report
Setup].
If you set [Rhythm Format] to [One Lead], the waveform of the selected rhythm lead displays in 6 cascade
lines, with each line including 10 seconds of waveforms on the report.
If you set [Rhythm Format] to [Three Leads], the waveforms of the selected rhythm leads display in 3 cascade
lines, with each line including 20 seconds of waveforms on the report.
4. Check other waveforms and report settings by selecting Setup [Waveform Setup] and [Report Setup].
5. Select the [Rhythm] soft key to start a rhythm measurement.
Then the equipment starts acquiring ECG data and a countdown displays. When 60 seconds are reached, printing starts.
The rhythm measurement automatically stops when the report is finished. You can also select the [Stop] soft key to
manually interrupt it.
NOTE
Do not touch the metal electrodes or connectors when acquiring and recording an ECG. Otherwise
inaccurate measurements may results.

7.4 Printing a Report
The equipment is configured with a thermal recorder to output the ECG reports. You can also print auto ECG reports and
rhythm ECG reports through an external printer.
To use an external printer, set [Printing Device] to [External printer] by selecting Setup [Report Setup].
The equipment supports HP LaserJet P1606dn and LaserJet M401n.
Before printing a report, check that the paper is properly loaded. Refer to 3.2.3 Loading the Paper for loading the paper
for the thermal recorder. To load the paper for the external printer, refer to the printers accompanying instructions for
use.
NOTE
For LaserJet M401n, on the printer select [System Setup] [Paper Setup] [Tray 1]/[Tray 2], set [Paper
Size] to [Any Type]..
7.5 Copying a Report

The equipment has the function of copying the latest auto report and rhythm report.
To print another copy of the latest auto or rhythm ECG report, press on the keyboard.
You can copy the report using the current configuration, or change the settings before printing another copy.
7.6 Saving a Patient Report

If you have enabled [Auto Save] from the [File Management] menu, a patient record is automatically created and saved
at the completion of each auto measurement. You can search, send, review, print or delete the historic patient records
from the Directory List. Refer to 8.2 Managing Patient Records for detail.
If auto save is disabled, you can manually save a report when a preview of the report is generated.

7.7 Resting 12-lead ECG Analysis
The equipment incorporates the Glasgow algorithm to provide an interpretation of the resting 12-lead ECG in all
situations. The equipment automatically starts analysis at the completion of ECG acquisition.
Resting 12-lead ECG analysis provides:
Measurements, including:
Vent. Rate (bpm)
PR Interval (ms)
QRS Duration (ms)
QT/QTc Interval (ms)
P/QRS/T Axes ()
Critical values, including:
Consider Acute STEMI
Acute MI/Ischemia
Extreme Tachycardia
Extreme Bradycardia
Significant Arrhythmia
Prolonged QTc Interval
Diagnoses
Median Complex
Gives the median complex of each lead.
Measurement Matrix
Gives 32 measurements of each lead, including:
Pon (ms), Pdur (ms), QRSon (ms), QRSdur (ms), Qdur (ms), Rdur (ms), Sdur (ms), R'dur (ms), S'dur (ms), P+dur (ms),
QRSdef (ms), P+amp (V), P-amp (V), QRSp2p (V), Qamp (V), Ramp (V), Samp (V), R'amp (V), S'amp (V),
STamp (V), 2/8STT (V), 3/8STT (V), T+amp (V), T-amp (V), QRSarea (V*ms), Rnotch, DWconf (%), STslope (deg),
Ton (ms), Tdur (ms), T+dur (ms), QTint (ms).
The diagnoses of 12-lead ECG analysis is included on the ECG report by default, see Report Analysis Setup in 4.3 Record
Setup.
Resting 12-lead ECG analysis is not intended for the manual measurement and rhythm measurement.
Refer to12-Lead ECG Interpretive Program Physicians Guide (PN: 046-004817-00) for details.

7.8 ECG Report
The format and contents of the ECG reports are configurable. Refer to 4.3 Record Setup for details.
The following is a sample of the standard auto measurement recording with default configuration.
1 2 3 4
5 6 7 8 9 10 11
1. Patient information 2. Time of acquisition 3. Measurements
4. Diagnosis statement 5. Black mark 6. Paper speed
7. Gain 8. Frequency range 9. Institution name
10. System software version/algorithm version 11. Equipment ID

8 File Management
8.1 Accessing File Management
2. Select [File Management].
3. Set the options as desired.
Refer to 4.4 File Management for detail.
8.2 Managing Patient Records

If you have enabled [Auto Save] from the [File Management] menu, a patient record is automatically created and saved
at the completion of each auto measurement. You can search, send, review, print or delete the historic patient records
from the Directory List.
8.2.1 Accessing Directory List

In normal screen, select the [Directory] soft key to enter the [Directory List]. The [Directory List] lists all patient records
in time sequence with the latest on the top.
In Directory List, select one or more records to:
Send the selected records to an external device.
Review the highlighted record.
Delete the selected records.
Print the selected records.
You can search patients from the Directory List.

1. Select the [Search] soft key and enter a keyword.
2. Select [Search] again to start searching.
Then you can find all the patients that meet the search criteria.

8.3 Managing the Configuration
Select Setup [Maintenance], enter the required password to enter the [Maintenance] menu. You can:
Select [Load Configuration] to load a configuration stored in the USB drive.
Select [Export Configuration] to export the current configuration to the USB drive.
Select [Print Configuration] to print the current configuration.
Select [Restore Default Configuration] to restore the default configuration.
8.4 Sending Files

The equipment can be connected with the hospitals FTP server through the wired or wireless network to send the
patients ECG reports.
To connect the FTP server:

1. Select Setup [Maintenance], enter the required password to enter the [Maintenance] menu.
2. Select [Network Type].
3. If you select [WLAN], set [Network Name (SSID)] and [Password].
4. Respectively set the following options:
[IP Address]: the IP address of the equipment.
[Subnet Mask]: the subnet mask of the equipment.
[Default Gateway]: the IP address of the default gateway.
[Server IP Address]: the IP address of the FTP server.
[FTP Port]: the port of the FTP server.
[FTP Username]: the username of the FTP server.
[FTP Password]: the password to enter the FTP server.
You can send the patients reports in either of the following ways:
Automatically
Select Setup [File Management] [Auto Send].
During auto measurement, the equipment automatically sends out the current report in XML format through the
network after the measurement is finished.
Manually
1. Select the [Directory] soft key to enter the [Directory List].
2. Select the files to be sent
3. Select the [Send] soft key to send them manually.
You can manually send the selected files to the FTP server through the network, or send them to the USB drive
connected to the equipment. The format of the files sent to the USB drive can be XML, Mindray, or PDF. Refer to [File
Format] as described in 4.4 File Management.
If you have problems to send out the patients reports, contact your service personnel.

9 Troubleshooting
9.1 General Problems
This chapter lists the problems that are likely to occur. If the problem persists after corrective actions have been taken,
contact your service personnel.
Symptom Possible Cause Corrective actions
The equipment does not power up. 1. The equipment is not turned on. 1. Verify the equipment is turned on.
2. The equipment is not connected to 2. Verify the equipment is properly
the AC mains or the power cord is connected to the AC mains.
poorly connected. 3. Verify the equipment receives power
3. External power supply problems, from the AC mains. Replace the power
such as damaged power cord or AC cord or AC power outlet if necessary.
power outlet. 4. Verify the battery is installed and has
4. Battery is not installed or has no sufficient charge. Otherwise, connect
charge when the AC mains is not the equipment to the AC mains to run
connected. the equipment and charge the battery.
The display is completely blank. 1. The equipment is power off. 1. Check that the equipment is turned
2. The equipment is in the Standby on.
mode. 2. Press any key to exit Standby.
The display is frozen. Software failure. 1. Press and hold the Power switch for
10 seconds to forcibly shut down the
equipment.
2. Restart the equipment.
Wrong characters are entered. Wrong entering method. Verify the entering method is correct.
No response to keystroke. 1. One or more keys on the keyboard 1. Verify no other key is pressed and
are being pressed and held. held.
2. Software failure. 2. Press and hold the Power switch for
10 seconds to forcibly shut down the
equipment.
3. Restart the equipment.
The barcode reader cannot read the The barcode reader is not properly Properly connect the barcode reader to
patient ID. connected to the equipment. the equipments USB port.
The recorder does not work. 1. Paperless recording is enabled. 1. Select Setup [Record Setup] and
2. Recording paper is not loaded. disable [Paperless Recording].
3. The paper tray is not snap in place. 2. Verify the recording paper is properly
4. Print head is too hot. loaded.
5. The thermal recorder is disabled due 3. Verify the paper tray is snap in place.
to low battery. 4. Wait till the print head cools down.

5. Check whether the message Battery

depleted! Recorder disabled. is
presented. If yes, connect the
equipment to the AC mains to run the
equipment and charge the battery.
Paper jammed or misaligned. 1. Unspecified paper is used. 1. Verify specified paper is used.
2. Recording paper is not properly 2. Take out the paper and tear off the
loaded. jammed part. Reload the paper as
3. The paper tray spacer is not properly described in 3.2.3 Loading the Paper.
placed. 3. Verify the paper tray spacer is placed
appropriately for the paper size. Refer
to 3.2.3 Loading the Paper for detail.
Some or all leads have no waveforms. 1. Defective or broken ECG cable. 1. Replace the ECG cable with a new
2. ECG cable is not connected. one.
3. Electrodes are not applied, or 2. Check the ECG cable is properly

leadwires are dragged or pressed. connected.
3. Verify electrodes are correctly
applied as described in 6.4.1Electrode
Placement.
Baseline drift for one or more leads. 1. Unspecified electrodes are used or 1. Use specified accessories. Do not mix
mix electrode types and brands. electrode types or brands.
2. Poor skin preparation. 2. Prepare the patient skin before ECG
3. Electrode problems. acquisition as described in 6.2
Preparing the Skin.
Placement. Check for defective or
expired electrodes. Replace with
disposable electrodes if necessary.

ECG data displays unacceptable noise. 1. Patient movement. 1. Ensure the patient remains
2. AC interference from external motionless during ECG acquisition.
devices or improper AC filter setting. 2. Turn of the adjacent devices or move
3. Muscle artifact or improper muscle the electrocardiograph away from the
artifact filter setting. interference if possible. Properly set the
4. Poor skin preparation. AC filter.
5. Electrode problems. 3. Properly set the muscle artifact filter.

4. Prepare the patient before ECG
acquisition as described in 6.2
Preparing the Skin.
Placement. Check for defective or
expired electrodes. Replace with
disposable electrodes if necessary.
The equipment automatically shuts 1. Auto shutdown is enabled and the 1. Enable or disable [Auto Shut Down]
down. equipment is inactive for the by selecting Setup [Basic Setup] as
predefined time. desired.
2. The battery is depleted when the 2. Connect the equipment to AC mains
equipment runs on battery power. to run the equipment and charge the
battery.
9.2 Messages
The equipment prompts messages to indicate the current system status.
Some messages, see 9.2.1 Message List 1, are important and urgent, and need you to acknowledge or take actions in
time. The system pops up a dialog box when these messages happen. In this case, you cannot operate the equipment
unless you press any key to clear the pop-up message or wait till the triggers disappear.
Some pop-up messages also display in the message area and disappear till the triggers disappear.
Some messages, see 9.2.2 Message List 2, are less urgent. These messages are shown in the message area. They
disappear automatically when the triggers disappear.
The equipment can give a notification tone when a message is presented. The notification tone is switched off by default.
You can enable it by accessing the [Basic Setup] menu. Refer to Notification Tone in 4.5 Basic Setup.
However, the equipment always gives a notification tone when some messages occur regardless of the setting of
[Notification tone]. Refer to the messages followed by an asterisk in the messages lists below.

9.2.1 Message List 1
Message Trigger Action to be taken
Battery depleted!* The battery is too low. Connect the equipment to the AC
mains to run the equipment and
charge the battery.
*
Recorder unavailable! Communication with the recorder fails 1. Verify that recording paper is
or the recorder does not work. properly loaded.
2. Verify that the print head is not too
hot.
3. If the problem persists after the
above actions have taken, contact your
service personnel.
Paper type error * 1. Unspecified paper is used. 1. Verify specified paper is used.
2. The black mark on the paper cannot 2. Verify the paper tray spacer is placed
be detected. appropriately for the paper size as
described in 3.2.3 Loading the Paper.
*
Recorder head hot Print head becomes too hot due to Stop printing and wait till the print
heavy use. head cools down.
Printer unavailable! * 1. The printer is not turned on. 1. Turn on the printer.
2. The electrocardiograph does not 2. Check the printer model. Make sure
support the printer. supported printer is used.
3. The printer automatically shuts 3. Disable the auto shutdown function.
down. 4. Disable the smart drive installation
4. The function of smart drive function.
installation is enabled. 5. Check that the printer is properly
5. Communication with the external connected with the cardiograph and
printer fails. the connection cable is not damaged.
6. If the problem persists, contact your
service personnel.
ECG module error* Damaged ECG board or software failure Contact your service personnel.
causes ECG communication error or
communication stops.
Printing... The report is being printed. Wait till the printing finishes. To stop
printing, select the [Stop] soft key.
Generating preview... The equipment is generating a preview Wait till the preview is generated.
of the ECG report.
Recorder out of paper The thermal recorder runs out of paper. Load the paper as described in 3.2.3
Loading the Paper.
Recorder is out of paper. Please load The thermal recorder runs out of paper Load the paper as described in 3.2.3
paper when printing a report. Loading the Paper.
Recorder door not closed Paper tray is open. Push the paper tray back to snap in
position and try again.
Printer out of paper The external printer runs out of paper. Load the paper and try again.
Please check printer Problems, such as paper tray not Check the printer, remove the errors as

closed, no paper, paper jam, or indicated, and try again.
cartridge running out of ink, occur to
the external printer.
Printing stopped The printing task is interrupted by /
pressing the [Stop] soft key.
*
Configuration loaded successfullly Configuration is loaded successfully. /
Loading configuration failed* Main control software or hardware Contact your service personnel.
failed.
*
Configuration file not found Configuration file is not found in the 1. Verify that correct configuration file
USB drive when loading configuration. is stored in the USB drive.
2. Check whether the file system is
damaged. If yes, contact your service
personnel.
Export configuration successfully Configuration is successfully exported. /
Export failed Exporting patient data failed. 1. Check that the settings are correct
2. Check that the USB drive is properly
inserted and file system is not
damaged.
3. Check that the USB drive has
sufficient space.
Failed to create file(s) Creating files failed when exporting Try again. If the problem persists,
configuration. contact your service personnel.
Sending data. Please wait(X/Y) Files are sending to the external device. Wait till all files have been sent.
X refers to the number of files having
been sent; Y refers the total number of
files to be sent.
Sending data successfully The files are successfully sent to the /
external device.
Sending data failed The files fail to be sent to the external Check network connection and
device. network related settings. Try again. If
the problem persists, contact your
service personnel.
Deleting... File(s) are being deleted. /
Deleted successfully Selected files are successfully deleted. /
Deleting failed The selected files failed to be deleted. Check that deleting option is selected.
You can format the internal memory if
you want to delete all the files.
There's no report to copy. Please No auto ECG report or rhythm report is Take an auto measurement or rhythm
acquire ECG data first. available when you try to copy the measurement.
latest report.
Reanalyzing The equipment is reanalyzing ECG data. Wait till reanalysis finishes.

Modifying patient information may If the reanalysis option is disabled, Enable reanalysis if necessary.
cause difference in the diagnostic saving the change to the patients age,
statements produced by the software. date of birth, gender, race, medication,
Consider to enable reanalyzing process. or V3 placement setting pops this
message.
Connection failed. Please check your When you try to manually send reports Check network connection and
network. to an external device, the equipment is network related settings. Try again. If
not connected to the network or the problem persists, contact your
cannot connect to the network due to service personnel.
network problem
Connecting server failed. The equipment cannot connect to the Check network connection and
FTP server when you send files. network related settings. Try again. If
the problem persists, contact your
service personnel.
Incorrect FTP username or password. Wrong FTP user name or password is Enter the correct user name and
Please try again. entered when you try to manually send password.
the reports to an external device.
USB memory low The USB memory has insufficient space Delete useless files stored in the USB
when patient data or configuration is drive to release the memory space.
to be exported to the USB drive.
USB memory not found The system fails to find the USB drive. 1. Verify the USB drive is properly
plugged.
2. If the problem persists, format the
USB drive and try again.
Save failed Files failed to be saved. Try again. If the problem persists,
Save successfully When auto save is disable, a report is /
manually saved by pressing the [Save]
soft key.
Formatting failed Formatting memory failed. Internal memory might be damaged.
Contact your service personnel.
Formatting completed The memory is successfully formatted. /
Formatting. Please wait... The memory is being formatted. Wait till formatting finishes.
Shutting down... The system is shutting down. /
Touchscreen Calibration Completed! The touchscreen is calibrated /
successfully.
Note: * means that the equipment always gives a notification tone when the message occurs.

9.2.2 Message List 2
Message Trigger Actions to be taken
Data memory unavailable* Data memory is unavailable or cannot Contact your service personnel.
detect the data memory.
*
Data memory error Unable to read or write the data Contact your service personnel.
memory.
*
RT clock need reset The real-time clock displays the initial Contact your service personnel.
value because button cell failed and
reset, or button cell is not available.
*
RT clock error Unable to read the real-time clock Contact your service personnel.
register.
*
Battery error Failure is detected when the battery is Contact your service personnel.
being charged.
*
Device abnormal voltage The voltage of PCBA power supply is Contact your service personnel.
abnormal.
Limb lead off 1. RL lead off or more than one limb 1. Check corresponding electrodes and
lead off. lead wires. Re-apply the electrodes or
2. Patient cable is detached from the reconnect the lead wires if necessary.
equipment. 2. Check that patient cable is properly
connected to the equipment.
XX Lead off The referred lead is off. Check corresponding electrodes and
(XX refers to LA/L, LL/F, V1-V6/C1-C6) lead wires. Re-apply the electrodes or
reconnect the lead wires if necessary.
Noise Noise or artifacts from lead I, II, V1, V2, Check that the patient is relaxed,
V3, V4, V5, V6 is detected. patient skin is properly prepared, and
the electrodes are properly connected.
Printing The thermal recorder or the external Wait till printing finishes.
printer is printing a report.
Recording... The thermal recorder is printing a To stop printing, press the [Stop] soft
report. key
Analyzing... The algorithm is analyzing acquired Wait till analyzing finishes.
ECG data.
Analyzing Failed The algorithm fails to analyze acquired Refer to12-Lead ECG Interpretive
ECG data and is unable to give Program Physicians Guide (PN:
diagnoses. 046-004817-00).
ECG data insufficient In the situation that pre-acquisition is Wait till sufficient data is acquired.
enabled, the equipment has not
acquired 10 seconds of ECG data when
auto measurement is started.
Acquiring... The equipment is acquiring 60-second Wait till 60 seconds of countdown is
ECG data when a rhythm measurement reached. To stop acquisition, press the
is started. [Stop] soft key
Recorder out of paper The thermal recorder runs out of paper. Load the paper as described in 3.2.3
Loading the Paper.

Message Trigger Actions to be taken
Recorder door not closed Paper tray is open. Push the paper tray to snap in position.
Try again.
Recorder head hot * Print head becomes too hot due to Stop printing and wait till the message
heavy use. disappears.
IP address conflict IP address conflict. Contact your service personnel.
Insufficient memory space The left memory space is less than 10 Delete useless historic files.
files.
Low battery The battery charge is low. Connect the equipment to the AC
mains to run the equipment and
charge the battery.
*
Note: means that the equipment always gives a notification tone when the message occurs.

10 Battery
10.1 Overview
The equipment is designed to operate from battery power during intra-hospital patient transfer or whenever AC power
supply is not available. The equipment uses the AC power as primary power source. In case of power failure, the
equipment automatically runs power from the battery. So we recommend you always install a fully charged battery in
the equipment.
On-screen battery symbols indicate battery status as follows:
Indicates that the battery works properly. The solid green portion represents the current battery charge level. Each
block represents a charge of approximately 20% capacity.
Indicates that the battery has low charge level and needs to be charged. In this case, the LED turns yellow and the
message Low Battery shows at the bottom of the screen.
Indicates that the battery is almost depleted and needs to be charged immediately.
Indicates that no battery is installed or charging battery fails.
When the battery is depleted, the system pops up the message Battery Depleted, the battery indicator flashes in
yellow, and the recorder is disabled. At this moment, connect the equipment to the AC mains to run the equipment and
charge the battery. Otherwise the equipment will shut down.
10.2 Charging the Battery

The battery is charged whenever the equipment is connected to an AC power source regardless of whether or not the
equipment is currently on.
When the battery is being charged, the battery indicator is illuminated in green. The on-screen battery symbol
dynamically shows the charging status if the equipment is powered on.
10.3 Replacing the Battery

The battery must be installed by service personnel trained and authorized by our company only. To replace the battery,

10.4 Battery Guidelines
Life expectancy of a battery depends on how frequent and how long it is used. For a properly maintained and stored
lithium ion battery, its life expectancy is about 3 years. Under more aggressive use, life expectancy can be less. We
recommend replacing lithium ion batteries every 3 years.
To get the most out of the battery, observe the following guidelines:
Perform the battery performance test once a year, before equipment repairs, or whenever the battery is suspected
as being the source of the problems.
Condition the battery once when it is used or stored for 3 months, or when its operating time becomes noticeably
shorter.
Take out the battery before the equipment is transported or will not be used for more than 3 months.
Store the battery with battery power about 50% of the full charge. Every 6 months, fully charge the battery, and
then run the equipment on this battery till its power becomes 50% of the full charge. Remove the battery from the
equipment and store it.
When storing batteries, make sure that the battery terminals do not come into contact with metallic objects. Store
the batteries in a cool place, ideally at a temperature of 15 C. Storing batteries in a cool place slows the aging
process, while storing batteries at high temperature for an extended period of time will significantly shorten
battery life. Do not store the battery at a temperature beyond -20 C 60 C.
WARNING
Keep the battery out of childrens reach.
Use only the specified batteries.
If the battery shows signs of damage or signs of leakage, replace it immediately.

10.5 Battery Maintenance
10.5.1 Conditioning a Battery
The battery should be conditioned before the first use. A battery conditioning cycle is one uninterrupted charge of the
battery, followed by an uninterrupted battery discharge and charge. Batteries should be conditioned regularly to
maintain their useful life.
To condition a battery, follow this procedure:
1. Disconnect the equipment from the patient.
2. Connect the equipment to the AC mains. Allow the battery to be charged uninterrupted till the battery is full and
the battery indicator is off.
3. Disconnect the AC mains and allow the equipment to run from the battery until it shuts off.
4. Again connect the equipment to the AC mains. Allow the battery to be charged uninterrupted till the battery is full
and the battery indicator is off.
NOTE
The actual battery capacity decreases over time. For an old battery, the full capacity battery symbol does
not indicate the capacity and operating time of this battery can still fulfill battery specifications in the
operators manual. Please replace the battery if its operating time is significantly lower than the specified
time.
10.5.2 Checking a Battery

The performance of a rechargeable battery may deteriorate over time. Perform the battery performance test once a year,
before equipment repairs, or whenever the battery is suspected as being the source of the problems.
To check the performance of a battery:
1. Disconnect the equipment from the patient.
2. Connect the equipment to the AC mains. Allow the battery to be charged uninterrupted till the battery is full and
the battery indicator is off.
3. Disconnect the AC mains and allow the equipment to run from the battery until it shuts off.
Battery operating time directly reflects its performance. If the operating time of a battery is noticeably shorter than that
stated in the specifications, contact your service personnel.
NOTE
Battery operating time depends on the device configuration and operation. The battery might be damaged
or malfunctioned if its operating time is too short after being fully charged.
When a battery has visual signs of damage, or no longer holds a charge, it should be replaced.

10.6 Battery Recycling
Replace the battery if there are visual signs of damage, the battery fails, or the battery has been used for more than three
years. To dispose of the batteries, follow local laws.
WARNING
Do not disassemble, puncture or incinerate batteries. Do not short the battery terminals. They may ignite,
explode, or leak, causing personal injury.

11 Care and Maintenance
Regular maintenance is essential to ensure that the equipment functions properly. This chapter contains information
on basic care and periodic maintenance.
WARNING
Failure for the responsible individual, hospital or institution employing this equipment to implement a
satisfactory maintenance schedule may cause undue equipment failure and possible health hazards.
This equipment contains no user serviceable parts. Refer servicing to qualified service personnel.
The safety checks or maintenance involving any disassembly of the equipment should be performed by
professional servicing personnel. Otherwise, undue equipment failure and possible health hazards could
result.
If you discover a problem with any of the equipment, contact your service personnel or us.
11.1 Cleaning and Disinfecting

Keep your equipment and accessories free of dust and dirt. To avoid damage to the equipment, follow these rules:
Always dilute the cleaning and disinfecting agent according to the manufacturers instructions or use the lowest
possible concentration.
Do not immerse any part of the equipment into liquid.
Do not pour liquid onto the equipment or accessories.
Do not allow liquid to enter the case.
Never use abrasive materials (such as steel wool or silver polish), or erosive cleaners (such as acetone or
acetone-based cleaners).
WARNING
Be sure to shut down the system, disconnect power cord and other cables before cleaning the equipment.
Use only the substances approved by us and methods listed in this chapter to clean or disinfect your
equipment. Warranty does not cover damage caused by unapproved substances or methods.
We make no claims regarding the efficacy of the listed chemicals or methods as a means for controlling
infection. For the method to control infection, consult your hospitals Infection Control Officer or
Epidemiologist.
CAUTION
Remove the equipment from use if liquid is spilled on the equipment or accessories. Contact your service
personnel.

11.1.1 Cleaning
Recommended cleaning agents for the equipment are:
Water
Mild soap
Do not use any of the following materials to clean the equipment because equipment damage may result.
Organic solvents except ethanol
Ammonia-based solvents
Acid or alkaline cleaning agents such a sodium hypochlorite and peroxide solvents
Abrasive cleaning agents
For the recommended cleaning agents for the reusable accessories, refer to the instructions for use delivered with the
accessories.
Cleaning the Equipment
Your equipment should be cleaned regularly. If there is heavy pollution or lots of dust and sand in your place, the
equipment should be cleaned more frequently. Before cleaning the equipment, consult your hospitals regulations for
cleaning the equipment.
To clean your equipment:
1. Shut down the equipment and disconnect the power cord, accessories, and other devices that are connected
with the equipment.
2. Dilute the mild soap in water to make a cleaning solution.
3. Soak a clean and soft cloth in the solution and wring out excess solution.
4. Thoroughly wipe the surface of the equipment with the damp cloth, avoiding the connectors.
Do not drip the solution or any liquid on the keyboard and the opening of the thermal recorder.
5. Dry the surface with a clean cloth or paper towel.
Cleaning Patient Cables and Lead Wires
Remove the cables and lead wires from the equipment before cleaning.
1. Gently wipe the cables and lead wires with a soft cloth dampened with the cleaning agent, avoiding the metal
connectors.
2. Wipe off excess moisture with a dry cloth.
3. Dry the cables and lead wires in a ventilated and cool place.

Cleaning Reusable Electrodes
Clean the reusable electrodes immediately after use on a patient.
1. Gently wipe the electrodes surface with a soft cloth dampened with 75% ethanol, avoiding the metal connectors.
2. Wipe off excess moisture with a dry cloth.
3. Dry the electrodes in a ventilated and cool place.
Cleaning the Thermal Print Head
Dirty print head deteriorates printing quality. Clean the print head at least once per month or as needed. Check the
printout to ensure the printing is legible and dark. Light printing may indicate a dirty print head.
To clean the thermal print head:
1. Turn off the equipment.
2. Pull out the paper tray. Take out the recording paper.
3. Gently wipe the print head with cotton swabs dampened with water or ethanol to remove the dust and foreign
particles.
4. Wipe off excess moisture with dry cotton swabs.
5. Reload the recording paper and push back the paper tray after the print head is completely air dry.
CAUTION
The print head gets hot when recording. Do not clean the print head immediately after recording.
11.1.2 Disinfecting
Disinfection may cause damage to the equipment and is therefore not recommended for this equipment unless
otherwise indicated in your hospitals servicing schedule. Cleaning equipment before disinfecting is recommended.
The recommended disinfectant for the equipment is 75% ethanol. For the recommended disinfectant agents for the
reusable accessories, refer to the instructions for use delivered with the accessories.
11.1.3 Sterilization
Unless otherwise specified in the instructions for using an accessory, do not sterilize the equipment or the accessories.

11.2 Regular Check
Perform a visual inspection before the equipment is first used every day. Verify that the equipment meets the
following requirements:
The housing and display screen are free from cracks or other damages.
All keys funtion properly.
Connectors are not loose, cracked, or bent and cables have no cuts, nicks, or fraying.
Power cord and patient cable are securely connected with the equipment.
Recording paper is properly loaded and sufficient.
Battery is installed and has sufficient charge.
Chest electrode bulbs are free from cracks and limb electrodes can properly clamp.
After your equipment has been used for 6 to 12 months, or whenever your equipment is repaired or upgraded, a
thorough inspection should be performed by qualified service personnel to ensure the reliability.
Follow these guidelines when inspecting the equipment:
Make sure that the environment and power supply meet the requirements.
Inspect the equipment and its accessories for mechanical damage.
Inspect power cord, patient cable and lead wires for damage, and make sure that their insulation is in good
condition.
Make sure that only specified accessories are applied.
Make sure that the battery meets the performance requirements.
Make sure that the recorder functions correctly and the recorder paper meets the requirements.
Make sure that the equipment is in good working condition.
In case of any damage or abnormity, remove the equipment from use. Contact the hospitals biomedical engineers or
your service personnel immediately.
11.3 Calibrating the Touchscreen

For the equipment configured with a touchscreen, calibrate the touchscreen when necessary.
1. Select Setup [Basic Setup] [Calibrate Touchscreen].
Then the symbol appears at the top left corner of the screen.
2. Tap the center of the symbol to align the touchscreen. Then the symbol moves to the next position.
3. Tap the center of the symbol in turn.
The equipment automatically exits touchscreen calibration and displays the message Touchscreen Calibration
Completed after the calibration is completed. You can press the Setup key to interrupt touchscreen calibration.

11.4 Maintaining the Battery
Refer to 10.5 Battery Maintenance for detailed information.
11.5 Storing Thermal Recording Paper

To store the thermal paper:
Store in a cool, dark, and dry place, avoiding high temperature, moisture and direct sunlight.
Avoid long-term exposure to bright light and ultraviolet sources.
Avoid contact with cleaning fluids and solvents, such as alcohols, ketones, esters, ether, and so on.
Do not store thermal paper with polyvinyl chloride or other chemicals which cause yellowing and fading.
Store each report separately in a paper bag. Avoid long-term overlapping or pressing by weight.
NOTE
Use only specified thermal paper. Using other paper may result in print head wearing out prematurely or
recording of poor quality.
11.6 Storing Cables and Lead Wires

To ensure that cables and lead wires work properly, follow these rules to store them:
Store in a dry and well-ventilated place.
Hang cables and lead wires vertically or around a big wheel, avoiding twisting or sharp-angle bending.
Do not coil cables or lead wires around the equipment.
11.7 Electrical Safety Tests

The users cannot perform electrical safety tests by themselves. Contact the service personnel if these tests are
required.
Refer to D Electrical Safety Inspection for details.

FOR YOUR NOTES

12 Accessories
WARNING
Use accessories specified in this chapter. Using other accessories may cause damage to the equipment or
not meet the claimed specifications.
Use disposable electrodes when the equipment is in use with a defibrillator.
Single-use accessories are not designed to be reused. Reuse may cause a risk of contamination and affect
the measurement accuracy.
Check the accessories and their packages for any sign of damage. Do not use them if any damage is
detected.
The accessories shall be disposed of according to hospital's regulations.
The accessory material that contacts the patients has undertaken the biocompatibility tests and is verified
to be in compliance with ISO 10993-1.
Use the accessories before the expiry date if indicated.
12.1 ECG Accessories

ECG Electrodes
Model Description Patient Category Part No.

31499224 10 pcs/pack Adult 0010-10-12304
2245 50 pcs/pack Pediatric 9000-10-07469
2258-3 3 pcs/pack Neonate 900E-10-04880
EC6402 Chest electrode Adult 040-001585-00
EC6403 Limb electrode, AHA Adult 040-001586-00
EC6406 Limb electrode, IEC Adult 040-001587-00
Patient Cable
Model Description Part No.

EC6408 AHA, 12-lead, 4, banana connector, defibrillation-proof, Mindray 040-001642-00
EC6409 AHA, 12-lead, Clip, defibrillation-proof, Mindray 040-001643-00
EC6410 IEC, 12-lead, 4, banana connector, defibrillation-proof, Mindray 040-001644-00
EC6411 IEC, 12-lead, Clip, defibrillation-proof, Mindray 040-001645-00

12.2 Others
Part No. Description
022-000008-00 Lithium battery, 11.1 V, 4500 mAh, LI23S002A
024-000534-00 External printer, HP LaserJet P1606dn
023-000254-00 Barcode reader, LS2208-SR
1000-21-00122 Grounding cable
095-002775-00 Recording paper, A4, 100 pages
095-002773-00 Recording paper, A4, 150 pages
095-002776-00 Recording paper, Letter, 100 pages
095-002774-00 Recording paper, Letter, 150 pages
023-000217-00 USB memory, 4GB, Transcend
023-000218-00 USB memory, 4GB, Apacer
DA8K-10-14452 Power cord, American
DA8K-10-14453 Power cord, UK
DA8K-10-14454 Power cord, European
0000-10-10903 Power cord, Indian
009-001791-00 Power cord, South African
0000-10-10775 Conductive gel

A Product Specifications
A.1 Classifications
According to IEC60601-1, the equipment is classified as follows:
CLASS I EQUIPMENT, equipment energized from an external and internal
Type of protection against electrical shock
electrical power source.
Degree of protection against electrical
DEFIBRILLATION-PROOF TYPE CF AAPPLIED PART
shock
Mode of operation CONTINUOUS OPERATION
Degree of protection against harmful
IPX0, non-protected against ingress of liquid
ingress of water
Degree of safety of application in the
presence of a FLAMMABLE EQUIPMENT not suitable for use in the presence of a FLAMMABLE
ANAESTHETIC MIXTURE WITH AIR or WITH ANAESTHETIC MIXTURE WITH AIR or WITH OXYGEN OR NITROUS OXIDE
OXYGEN OR NITROUS OXIDE
Degree of mobility Portable
A.2 Environmental Specifications

Temperature (C) Relative humidity (noncondensing) Barometric (kPa)
Operating
0-40 15%-95% 57.0-107.4
conditions
Storage
20-60 10%-95% 16.0-107.4
conditions
A.3 Power Supply Specifications

AC power
Input voltage 100-240V (10%)

Input power 100 VA
Frequency 50 Hz/60 Hz (3 Hz)
BeneHeart R12/BeneHeart R12A A-1

Battery
Battery type Rechargeable lithium-ion battery, 4500 mAh, 11.1 V

For equipment in standard configure and with default setting, when powered by a new
fully-charged battery and at ambient temperature 25 C5 C:
Run time
400 auto reports, or no less than one hour of continuous paper recording, or no less than 3.5
hours of paperless recording
With the equipment power off:
Charge time 6 h to 90% capacity
7 h to 100% capacity
Shutdown delay at least 5 minutes after the low battery message first occurs
A.4 Physical Specifications

Weight Size (Length Width Height)
4.8 kg, including the main unit, battery, and thermal recorder,
305 mm 365 mm 128 mm
excluding recording paper and other accessories
A.5 Hardware Specifications

A.5.1 Display
Screen type Color LCD with LED backlight
Screen Size 8 inches
Resolution 800 480 pixels
A.5.2 Equipment Connector

Patient cable connector One, connects patient cable for ECG acquisition
USB connector Two, connects the USB drive, external printer or barcode reader
One standard RJ45 connector for LAN and one for Wi-Fi , connects the equipment to the
Network connector
network for data transmission and software upgrade
A.5.3 Indicators
Power indicator 1 (green)
AC indictor 1 (green)
Battery indictor 1 (two colors: yellow and green)
A.5.4 Audio Indicator

Sounder Gives notification tone, heartbeat tone, and power-on self-check tone
A-2 BeneHeart R12/BeneHeart R12A

A.5.5 Recorder
Recorder type Build-in thermal recorder
Number of waveform
Max. 12
channels
5 mm/s, 12.5 mm/s, 25mm/s, 50 mm/s
Paper speed
Accuracy: 5%
Z-fold
Recording paper
Paper size: A4 or US Letter
Vertical resolution: 8 dots/mm
Resolution
Horizontal resolution: 40 dots/mm (with paper speed 25 mm/s),
A.6 System Specifications

Boot time 7 s
A.7 Measurement Specifications

ECG
Standards EC11, IEC 60601-2-51
Measurement mode Auto, manual, rhythm
Lead type 12-lead
ECG standard AHA, IEC
2.5 mm/mV ( 0.25), 5 mm/mV ( 0.5), 10 mm/mV ( 1), 20 mm/mV ( 2), Auto, L=10
ECG size C=5, L=20 C=10
Accuracy: 5%
5 mm/s, 12.5 mm/s, 25 mm/s, 50 mm/s
Sweep speed
Accuracy: 5%
Baseline drift removal (BDR) 0.56 Hz
Muscle artifact filter 20/35 Hz
0.4 dB
Frequency response 0.05 Hz-150 Hz ( 3.0 dB )
Overall system error is tested using the method described in AAMI EC11 3.2.7.1.
Accuracy of input signal Overall system error is5%.
reproduction Frequency response is tested using the method described in AAMI EC11 3.2.7.2
methods A and D.
Common mode rejection ratio 110 dB
AC filter 50/60 Hz
1 kHz (A/D)
ECG sampling rate
Accuracy: 1V/LSB
Pacer detection sampling rate 16 kHz/channel, two channels
Input signal range 10 mV (peak-to-peak value)
Input impedance 50 M @10 Hz, any two electrodes
BeneHeart R12/BeneHeart R12A A-3

600 mV,
DC offset voltage range
Sensitivity: 5%
Defibrillation proof 5000 V, 360 J
Baseline recovery time <5 s after defibrillation
Electrode polarization recovery
<10 s
time
Defibrillation energy reduction 10% (100 load)
1 mV
Calibration signal
Accuracy: 5%
Noise level 15 V (p-p)
Apply for 10 seconds. The equipment meets the requirements of EC11 after a
AC overload protection
10-second application of 50Hz/60Hz, 1Vp-p differential voltage.
Channel crosstalk 0.5mm at normal sensitivity
Measuring electrode: 0.1 A
Lead-off detection current
Drive electrode: 1 A
Minimum signal 10Hz sinusoidal signal, with 20Vp-p deflection
Baseline drift 1 mm
Baseline stability
Average baseline drift 0.5mm/C within operation temperature range
Pace pulse
Pace pulses meeting the following conditions are labelled with a PACE mark:
Amplitude: 2 mV - 250 mV
PACE pulse markers Width: 0.1 ms - 2 ms
Rise time: < 100 s
Amplitude: 0.2 mV RTI
Resting 12-lead ECG analysis
Method 12 lead simultaneous analysis
Interpretation algorithm Glasgow 12-lead resting ECG interpretive program
Applicable patient Adult, pediatric, neonate
Vent. Rate (bpm), PR Interval (ms), QRS Duration (ms), QT/QTc Interval (ms), P/QRS/T
Measurements
Axes ()
A-4 BeneHeart R12/BeneHeart R12A

B EMC and Radio Regulatory Compliance
B.1 EMC
The device meets the requirements of IEC 60601-1-2. All the accessories listed in 12 Accessories also meet the
requirements of IEC 60601-1-2 when in use with this device.
Note
Using accessories, transducers and cables other than those specified may result in increased
electromagnetic emission or decreased electromagnetic immunity of the device.
The device or its components should not be used adjacent to or stacked with other equipment. If adjacent or
stacked use is necessary, the device or its components should be observed to verify normal operation in the
configuration in which it will be used.
The device needs special precautions regarding EMC and needs to be installed and put into service
according to the EMC information provided below.
Other devices may interfere with this device even though they meet the requirements of CISPR.
When the inputted signal is below the minimum amplitude provided in technical specifications, erroneous
measurements could result.
Portable and mobile communication equipment may affect the performance of this device.
Other devices that have RF transmitter or source may affect this device (e.g. cell phones, PDAs, and PCs with
wireless function).
Guidance and Declaration - Electromagnetic Emissions

The device is intended for use in the electromagnetic environment specified below. The customer or the user of the device
should assure that it is used in such an environment.
Emission tests Compliance Electromagnetic environment - guidance
Radio frequency (RF) emissions Group 1 The device uses RF energy only for its internal function. Therefore, its
CISPR 11 RF emissions are very low and are not likely to cause any interference
in nearby electronic equipment.
RF emissions CISPR 11 Class A The device is suitable for use in all establishments other than
Harmonic emissions Class A domestic and those directly connected to the public low-voltage
IEC61000-3-2 power supply network that supplies buildings used for domestic
Voltage Fluctuations/Flicker Complies purposes
Emissions IEC 61000-3-3
WARNING
This equipment/system is intended for use by healthcare professionals only. This equipment/ system may
cause radio interference or may disrupt the operation of nearby equipment. It may be necessary to take
mitigation measures, such as re-orienting or relocating the [ME EQUIPMENT or ME SYSTEM] or shielding the
location.
BeneHeart R12/BeneHeart R12A B-1

Guidance and Declaration - Electromagnetic Immunity
The device is intended for use in the electromagnetic environment specified below. The customer or the user of the device
should assure that it is used in such an environment.
Electromagnetic environment -
Immunity test IEC60601 test level Compliance level
guidance
Electrostatic discharge 6 kV contact 6 kV contact Floors should be wood, concrete or
(ESD) IEC 61000-4-2 8 kV air 8 kV air ceramic tile. If floors are covered
with synthetic material, the relative
humidity should be at least 30%.
Electrical fast 2 kV for power supply lines 2 kV for power supply lines Mains power quality should be that
transient/burst IEC 1 kV for input/output lines 1 kV for input/output lines of a typical commercial or hospital
61000-4-4 environment.
Surge IEC 61000-4-5 1 kV line(s) to line(s) 1 kV line(s) to line(s)
2 kV line(s) to earth 2 kV line(s) to earth
Voltage dips, short <5 % UT (>95 % dip in UT) for <5 % UT (>95 % dip in UT) for Mains power quality should be that
interruptions and 0.5 cycle 0.5 cycle of a typical commercial or hospital
voltage variations on environment. If the user of our
power supply input 40 % UT (60 % dip in UT) for 5 40 % UT (60 % dip in UT) for 5 product requires continued
lines IEC 61000-4-11 cycles cycles operation during power mains
interruptions, it is recommended
70 % UT (30 % dip in UT) for 70 % UT (30 % dip in UT) for that our product be powered from
25 cycles 25 cycles an uninterruptible power supply or
a battery.
<5 % UT (>95 % dip in UT) for <5 % UT (>95 % dip in UT) for
5s 5s
Power frequency 3 A/m 3 A/m Power frequency magnetic fields
(50/60 HZ) magnetic should be at levels characteristic of
field IEC 61000-4-8 a typical location in a typical
commercial or hospital
environment.
Note: UT is the AC mains voltage prior to application of the test level.
B-2 BeneHeart R12/BeneHeart R12A

Guidance and Declaration - Electromagnetic Immunity
The device is intended for use in the specified electromagnetic environment. The customer or the user of the device should
assure that it is used in such an environment as described below.
Immunity test IEC60601 test Compliance Electromagnetic environment - guidance
level level
Conduced RF 3 Vrms 3Vrms Portable and mobile RF communications equipment should

IEC61000-4-6 150 kHz to 80 MHz be used no closer to any part of the system, including cables,
than the recommended separation distance calculated from
the equation appropriate for the frequency of the transmitter.
Recommended separation distances:
d 1 .2 P
Radiated RF 3V/m 3V/m Recommended separation distances:
IEC61000-4-3 80MHz to 2.5GHz 80 MHz - 800 MHz
d 1 .2 P
800MHz-2.5GHz
d 2 .3 P
Where, P is the maximum output power rating of the
transmitter in watts (W) according to the transmitter
manufacturer and d is the recommended separation distance
in meters (m).
Field strengths from fixed RF transmitters, as determined by
an electromagnetic site survey a, should be less than the
compliance level in each frequency range b.
Interference may occur in the vicinity of equipment marked
with the following symbol:
Note 1: At 80 MHz to 800 MHz, the separation distance for the higher frequency range applies.
Note 2: These guidelines may not apply in all situations. Electromagnetic propagation is affected by absorption and reflection
from structures, objects and people.
Note 3: The device that intentionally receives RF electromagnetic energy at the exclusion band (2395.825MHz-2487.645MHz)
is exempt from the essential performance requirements, but remains safe.
a. Field strengths from fixed transmitters, such as base stations for radio (cellular/cordless) telephones and land mobile radios,
amateur radio, AM and FM radio broadcast and TV broadcast cannot be predicted theoretically with accuracy. To assess the
electromagnetic environment due to fixed RF transmitters, an electromagnetic site survey should be considered. If the
measured field strength in the location in which the [ME EQUIPMENT or ME SYSTEM] is used exceeds the applicable RF
compliance level above, the [ME EQUIPMENT or ME SYSTEM] should be observed to verify normal operation. If abnormal
performance is observed, additional measures may be necessary, such as re-orienting or relocating the [ME EQUIPMENT or
ME SYSTEM].
b. Over the frequency range 150 kHz to 80 MHz, field strengths should be less than3V/m.
WARNING
The device is configured with a wireless network connector to receive wireless signal. Other devices may
interfere with this device even though they meet the requirements of CISPR.

Recommended separation distances between portable and mobile RF communications equipment and the device
The device is intended for use in an electromagnetic environment in which radiated RF disturbances are controlled. The
customer or the user of the device can help prevent electromagnetic interference by maintaining a minimum distance
between portable and mobile RF communications equipment (transmitters) and the device as recommended below,
according to the maximum output power of the communications equipment.
Rated maximum Separation distance in meters (m) according to frequency of the transmitter
output power of 150 kHz - 80 MHz 80 MHz - 800 MHz 800 MHz - 2.5 GHz
transmitter (W)
d 1 .2 P d 1 .2 P d 2 .3 P
0.01 0.12 0.12 0.23
0.1 0.38 0.38 0.73
1 1.20 1.20 2.30
10 3.80 3.80 7.30
100 12.00 12.00 23.00
For transmitters rated at a maximum output power not listed above, the recommended separation distance d in metres (m)
can be estimated using the equation applicable to the frequency of the transmitter, where P is the maximum output power
rating of the transmitter in watts (W) according to the transmitter manufacturer.
Note 1: At 80 MHz and 800 MHz, the separation distance for the higher frequency range applies.
Note 2: These guidelines may not apply in all situations. Electromagnetic propagation is affected by absorption and reflection
from structures, objects and people.

B.2 Radio Regulatory Compliance
RF parameters
Description
Item
IEEE 802.11b IEEE 802.11g IEEE 802.11n
Operating Frequency Band
2412 - 2472 2412 - 2472 2412 - 2472
(MHz)
Modulation DSSS and CCK OFDM OFDM
Transmitter Output Power
<20 <20 <20
(dBm)
The radio device used in this product is in compliance with the essential requirements and other relevant provisions of
Directive 1999/5/EC (Radio Equipment and Telecommunications Terminal Equipment Directive).
WARNING
Keep a distance of at least 20cm away from the device when Wi-Fi function is in use.

FOR YOUR NOTES

C Symbols and Abbreviations
C.1 Units
A microampere
V microvolt
s Microsecond
A ampere
Ah ampere hour
bpm beat per minute
bps bit per second
C centigrade
cm centimeter
dB decibel
F fahrenheit
g gram
GHz gigahertz
h hour
Hz hertz
in inch
k kilo
kg kilogram
kPa kilopascal
L litre
m meter
mAh milliampere hour
Mb mega byte
mg milligram
min minute
ml milliliter
mm millimeter
mmHg millimeters of mercury
BeneHeart R12/BeneHeart R12A C-1

ms millisecond
mV millivolt
mW milliwatt
M megaohm
s second
V volt
VA volt ampere
ohm
W watt
C.2 Symbols
Minus sign, negative, or hyphen
% percent
/ per; divide; or
+ plus or positive
= equal to
< less than
> greater than
less than or equal to
greater than or equal to
plus or minus
multiply
copyright
C-2 BeneHeart R12/BeneHeart R12A

C.3 Abbreviations
AAMI Association for Advancement of Medical Instrumentation
AC alternating current
AHA American Heart Association
ANSI American National Standard Institute
aVF left foot augmented lead
aVL left arm augmented lead
aVR right arm augmented lead
CCU cardiac (coronary) care unit
CE Conformit Europenne
CIS clinical information system
CISPR International Special Committee on Radio Interference
CMS central monitoring system
DC direct current
ECG electrocardiograph
EEC European Economic Community
EMC electromagnetic compatibility
EMI electromagnetic interference
ESU electrosurgical unit
FCC Federal Communication Commission
FDA Food and Drug Administration
HIS hospital information system
HR heart rate
ICU intensive care unit
ID identification
IEC International Electrotechnical Commission
IEEE Institute of Electrical and Electronic Engineers
IP internet protocol
LA left arm
LAN local area network
LCD liquid crystal display
LED light emitting diode
LL left leg
BeneHeart R12/BeneHeart R12A C-3

MDD Medical Device Directive
MR magnetic resonance
MRI magnetic resonance imaging
N/A not applied
R right
RA right arm
RAM random access memory
RL right leg
SSID service set identifier
UPS uninterruptible power supply
USB universal serial bus
VAC volts alternating current
WLAN wireless local area network
C-4 BeneHeart R12/BeneHeart R12A

D Electrical Safety Inspection
The following electrical safety tests are recommended as part of a comprehensive preventive maintenance program.
They are a proven means of detecting abnormalities that, if undetected, could prove dangerous to either the patient or
the operator. Additional tests may be required according to local regulations.
All tests can be performed using commercially available safety analyzer test equipment. These procedures assume the
use of a 601PROXL International Safety Analyzer or equivalent safety analyzer. Other popular testers complying with IEC
60601-1 used in Europe such as Fluke, Metron, or Gerb may require modifications to the procedure. Follow the
instructions of the analyzer manufacturer.
The electrical safety inspection should be periodically performed every two years. The safety analyzer also proves to be
an excellent troubleshooting tool to detect abnormalities of line voltage and grounding, as well as total current loads.
D.1 Power Cord Plug

Test Item Acceptance Criteria
The power plug pins No broken or bent pin. No discolored pins.
The plug body No physical damage to the plug body.
The power plug No physical damage to the strain relief. No plug warmth for
The strain relief
device in use.
The power plug No loose connections.
No physical damage to the cord. No deterioration to the
cord.
For devices with detachable power cords, inspect the
The power cord
connection at the device.
For devices with non-detachable power cords, inspect the
strain relief at the device.
BeneHeart R12/BeneHeart R12A D-1

D.2 Device Enclosure and Accessories
D.2.1 Visual Inspection
No physical damage to the enclosure and accessories.
No physical damage to meters, switches, connectors, etc.
The enclosure and accessories No residue of fluid spillage (e.g., water, coffee, chemicals,
etc.).
No loose or missing parts (e.g., knobs, dials, terminals, etc.).
D.2.2 Contextual Inspection

No unusual noises (e.g., a rattle inside the case).
No unusual smells (e.g., burning or smoky smells, particularly
The enclosure and accessories from ventilation holes).
No taped notes that may suggest device deficiencies or
operator concerns.
D.3 Device Labeling

Check the labels provided by the manufacturer or the healthcare facility are present and legible.
Main unit label
Integrated warning labels
D.4 Protective Earth Resistance

1. Plug the probes of the analyzer into the devices protective earth terminal and protective earth terminal of the AC
power cord.
2. Test the earth resistance with a current of 25 A.
3. Verify the resistance is less than limits.
LIMITS
ALL COUNTRIES R = 0.2 Maximum
D-2 BeneHeart R12/BeneHeart R12A

D.5 Earth Leakage Test
Run an Earth Leakage test on the device being tested before performing any other leakage tests.
The following outlet conditions apply when performing the Earth Leakage test.
normal polarity( Normal Condition),
reverse polarity( Normal Condition),
normal polarity with open neutral(Single Fault Condition),
reverse polarity with open neutral(Single Fault Condition)
LIMITS
For UL60601-1,
300 A in Normal Condition
1000 A in Single Fault Condition
For IEC60601-1,
500 A in Normal Condition
1000 A in Single Fault Condition
D.6 Patient Leakage Current

Patient leakage currents are measured between a selected applied part and mains earth. All measurements have a true
RMS only
The following outlet conditions apply when performing the Patient Leakage Current test.
normal polarity( Normal Condition);
reverse polarity( Normal Condition),
normal polarity with open neutral(Single Fault Condition);
reverse polarity with open neutral(Single Fault Condition).
normal polarity with open earth(Single Fault Condition);
reverse polarity with open earth(Single Fault Condition).
LIMITS
For CF applied parts

10A in Normal Condition
50A in Single Fault Condition
BeneHeart R12/BeneHeart R12A D-3

D.7 Mains on Applied Part Leakage
The Mains on Applied Part test applies a test voltage, which is 110% of the mains voltage, through a limiting resistance,
to selected applied part terminals. Current measurements are then taken between the selected applied part and earth.
Measurements are taken with the test voltage (110% of mains) to applied parts in the normal and reverse polarity
conditions
The following outlet conditions apply when performing the Mains on Applied Part test.
Normal Polarity;
Reversed Polarity
LIMITS
For CF applied parts: 50 A
D.8 Patient Auxiliary Current

Patient Auxiliary currents are measured between any selected Applied Part connector and the remaining Applied Part
connector s. All measurements may have a true RMS only response.
The following outlet conditions apply when performing the Patient Auxiliary Current test.
normal polarity (Normal Condition);
reverse polarity (Normal Condition);
normal polarity with open neutral (Single Fault Condition);
reverse polarity with open neutral (Single Fault Condition).
normal polarity with open earth (Single Fault Condition);
reverse polarity with open earth (Single Fault Condition).
LIMITS
For CF applied parts,

10A in Normal Condition
50A in Single Fault Condition
NOTE
Make sure the safety analyzer is authorized comply with requirement of IEC61010-1.
Follow the instructions of the analyzer manufacturer.
D-4 BeneHeart R12/BeneHeart R12A

P/N: 046-004836-00(2.0)

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BeneHeart R12/BeneHeart R12A

BeneHeart R12/BeneHeart R12A I

, , and are the registered trademarks or trademarks owned

Responsibility on the Manufacturer Party

The product is used in accordance with the instructions for use.

II BeneHeart R12/BeneHeart R12A

This warranty shall not extend to

Malfunction or damage caused by improper use or man-made failure.

Malfunction or damage caused by unstable or out-of-range power input.

Malfunction or damage caused by force majeure such as fire and earthquake.

Others not caused by instrument or part itself.

Tel: +86 755 81888998

EC-Representative: Shanghai International Holding Corp. GmbH (Europe)

Address: Eiffestrae 80, 20537 Hamburg, Germany

BeneHeart R12/BeneHeart R12A III

[ ] is used to enclose screen texts.

is used to indicate operational procedures.

IV BeneHeart R12/BeneHeart R12A

2 Equipment Overview ........................................................................................................................................................ 2-1

3 Setting up the Equipment ................................................................................................................................................ 3-1

4 System Setup ..................................................................................................................................................................... 4-1

BeneHeart R12/BeneHeart R12A 1

6 Patient Preparation ........................................................................................................................................................... 6-1

7 Acquiring an ECG ............................................................................................................................................................... 7-1

8 File Management ............................................................................................................................................................... 8-1

9 Troubleshooting ................................................................................................................................................................ 9-1

2 BeneHeart R12/BeneHeart R12A

11 Care and Maintenance .................................................................................................................................................. 11-1

A Product Specifications...................................................................................................................................................... A-1

B EMC and Radio Regulatory Compliance .......................................................................................................................... B-1

C Symbols and Abbreviations ............................................................................................................................................. C-1

D Electrical Safety Inspection............................................................................................................................................. D-1

BeneHeart R12/BeneHeart R12A 3

4 BeneHeart R12/BeneHeart R12A

BeneHeart R12/BeneHeart R12A 1-1

1-2 BeneHeart R12/BeneHeart R12A

BeneHeart R12/BeneHeart R12A 1-3

Equipotentiality Analog out

Network connector USB connector

Telephone line connector ON/OFF for part of equipment

Battery indicator Alternating current (AC)

Caution Refer to instruction manual/ booklet

DEFIBRILLATION-PROOF TYPE CF Serial number

Dispose of in accordance to your Environment-friendly Used Period per

The product bears CE mark Authorized representative in the

Some symbols may not appear on your equipment.

1-4 BeneHeart R12/BeneHeart R12A

2.2 Major Functions

Acquire, analyze, display, and record 12-lead ECG information.

Support auto measurement, manual measurement, and rhythm measurement.

Store, preview, and review ECG reports.

Connect LAN or Wi-Fi to send ECG data.

Support entering patient information through the keyboard or a barcode reader.

BeneHeart R12/BeneHeart R12A 2-1

1. Thermal recorder: prints reports.

2. Hard keys: see Hard Keys and Indicators below.

3. Indicators: see Hard Keys and Indicators below.

4. Display screen: presents waveforms and text.

See Soft Keys below.